My first introduction to totemism was a group of pagans I hung around with in college. Some of them were really, really enthusiastic about this deck, but I only picked one up for myself within the last few years. I even did my senior thesis on the idea of personal, urban totemism. And even with all that, "Medicine Cards" scare the heck out of me.
Unless you believe that the only important totem animals are the ones that you can find on belt buckles (Eagle, Bear, Random Big Cat, etc.), there's no real Major Arcana/Minor Arcana distinction here. Every single card in this deck is big ju-ju. My first two readings kinda freaked me out, really. If archetypes, animal mythos and anthropomorphism are pretty much second-nature to you, just give up and get this deck. You will probably understand the cards without needing to check the book all that often.
Unless there was a slip-up at the publisher's, the standard deck does not come with a little reference pamphlet like most tarot decks do. It comes with a medium-sized hard back book (A nice treat, but not convenient for lugging around spontaneously -- this could be why they made the "Just for Today" deck) that explains each card, including an occasional story, and some spreads and an exercise to figure out which totem animals represent you in this spread. Two of three totems that I'd already figured out for myself showed up in the exercise, and the third was kinda iffy for me at that point anyway.
The cards are 5.5" by 3" and have an alarmingly boring back -- government blue with a single yellow lightening bolt. They're coated with something incredibly shiny, but aren't particularly slippery. There are 52 cards in the deck, plus 9 blanks so that you can fill it in with any animals that you think are missing. They're almost a little too large for me to shuffle them easily (and I've been told that I have large hands for my gender). The book's table of contents tells you what animals are included.
The artwork works inwards from a white boarder to a thinner red boarder that also bisects the interior design. The top half of the inside is sky-blue, and the bottom is an earth-tone green. In the middle is a Medicine Shield inside which is a picture of the featured animal spirit. Above, in the blue, along with the number of the card, is the aniamls name in a black script font.
The artwork is good. It's not cute, and it's not dazzlingly beautiful in a way that draws me, but I'm still impressed with this deck for all my nitpicky comments. If you think you're up for the challenge, I recommend "Medicine Cards."