All 4 volumes factory sealed in brand new condition. Never opened. All 4 volumes are present and will ship in the box pictured. The open textbook is from another set and is demonstrating what the contents of the sealed box look like. The product is a set of textbooks titled "Campbell's Operative Orthopaedics" in its thirteenth edition. Authored by S. Terry Canale, James H. Beaty, and Frederick M. Azar, this book is a comprehensive resource for those interested in the subject of orthopaedics. Published by Elsevier, this book is essential for students and professionals alike in the field of orthopaedic surgery. With its full sealed and unopened packaging, this set is sure to provide valuable insights and information for those studying or practicing in the field of orthopaedics.