This is a small hardcopy book with a red cloth cover. On the front in gilt letters are the words [What / Mrs. Fisher / Knows / About / Old Southern Cooking]. The words "What" and "Know" are surrounded by a rectangular gilt outline. Set at an angle across this rectangle is a second gilt rectangle enclosing the words "Mrs. Fisher." There are abstract floral, wheel, and spindle shaped designs in gilt at both ends of the two rectangles. The cover is textured with small bumps. There are numerous stains scattered across the cover. On the title page is an archival repair to the bottom of the title-page, with a few words provided in facsimile. On the first blank page is a handwritten inscription.