First American edition. xxxii, 754 pp. Bound in recent full calf with a black label on the spine lettered in gilt. About Very Good with light rubbing to leather, some dampstaining to edges, intruding lightly to margins with some associated wrinkling and wave, heavier at terminals; occasional light foxing, slight scuff to bottom edge, spien lettering a little rubbed. The first American publication of the illustrated medical anatomy text commonly referred to as Gray's Anatomy. It's been updated and revised many times over the past 160 years, but remains the standard reference work on the subject of human anatomy to this day.