The size of a book is generally measured by the height against the width of a leaf, or sometimes the height and width of its cover. A series of terms is commonly used by libraries and publishers for the general sizes of modern books, ranging from folio (the largest), to quarto (smaller) and octavo (still smaller). Historically, these terms referred to the format of the book, a technical term used by printers and bibliographers to indicate the size of a leaf in terms of the size of the original sheet. For example, a quarto (from Latin quartō, ablative form of quartus, fourth) historically was a book printed on a sheet of paper folded twice to produce four leaves (or eight pages), each leaf one fourth the size of the original sheet printed. Because the actual format of many modern books cannot be determined from examination of the books, bibliographers may not use these terms in scholarly descriptions.
In the hand press period (up to about 1820) books were manufactured by printing text on both sides of a full sheet of paper and then folding the paper one or more times into a group of leaves or gathering. The binder would sew the gatherings (sometimes also called signatures) through their inner hinges and attached to cords in the spine to form the book block. Before the covers were bound to the book, the block of text pages was sometimes trimmed along the three unbound edges to open the folds of the paper and to produce smooth edges for the book. When the leaves were not trimmed, the reader would have to cut open the leaf edges using a knife.
Books made by printing two pages of text on each side of a sheet of paper, which is then folded once to form two leaves or four pages, are referred to as folios (from Latin, foliō, ablative of folium, leaf). Those made by printing four text pages on each side of a sheet of paper and folding the paper twice to form a gathering containing four leaves or eight pages are called quartos (fourths). Similarly, books made by printing eight pages of text on each side of a sheet, which was then folded three times to form gatherings of eight leaves or sixteen pages each, are called octavos. The size of the resulting pages in these cases depends, of course, on the size of the full sheet used to print them and how much the leaves were trimmed before binding, but where the same size paper is used, folios are the largest, followed by quartos and then octavos. The proportion of leaves of quartos tends to be squarer than folios or octavos.