Great book for the 1st year resident and 4th year medical student. Many radiographs, charts, tables, surgical line drawings, and good references throughout this textbook. It is an elegant hardcover ca 1999 with large print, therefore easier to read in the dark on-call rooms. I hope Drs. Loftus and Grossman decide to come out with a 3rd edition soon. One can still learn alot of Neurosurgery from this book. It's an investment worth making.