Picking up a slipcase and tipping the book out into your other hand is fine if the book is not too large, or heavy... and you dont have arthritis in your hands. A fellow book artist brought this volume of letters, 8" at the spine and asked for a slip case. The recipient, a woman in the final stages of terminal cancer, would not be able to tip the book out even if she was in good health. This pull ribbon passes all the way around the back of the book inside the case. Pull the bamboo handle and the book slides out where it can be removed.