This is the rarest and most desirable of all Confederate manuals, printed by Ayres & Wade in Richmond, VA in 1863 with 297 text pages plus 30 full plate illustrations of amputations, resections and clamping of blood vessels. This example is in very good condition and actually quite fine for a Confederate manual, retaining its French wallpaper boards and buckram spine. Penciled onto front fly leaf "J.B. COAKLEY MD / RICHMOND / VIRGINIA". Assistant Surgeon J. B. Coakley is listed among paroled Confederate soldiers at Appomattox Courthouse as part of Lightfoot's Battalion, 2nd Army Corps. SIZE: CONDITION: Book overall measures 7" x 4-1/2". Sound, solid signatures, scuffing to edges and wallpaper covers. Both hinges are starting, foxing, light acid burn, edge is soiled with some bent pages at edge. 52863-13 JS (6,000-8,000)