This is a used Isuzu Cylinder Head.  Cylinder Head comes complete with valves and valve springs.  However injectors, cams and rocker arms are not included but are available upon request. Your satisfaction is guaranteed. We will ship world wide. Call for pricing and availability at 1-877-564-6307 Press 1.  If you have any further questions speak with our sales team. 05-11-16 *Pictures are for Illustration Purposes Only*