Overall, there are no noticeable scratches or stains, but one page in the back is starting to fold. Please consider this before purchasing. Before shipping, I will disinfect all pages with a wet wipe soaked in Milton sterilizing solution, which is safe for children. I will then place the book in a waterproof bag and package it carefully. I will do my best to ensure it arrives at your precious child's home as quickly as possible. Thank you for your consideration.