I've never used a refurb video card but I suppose it is no different than the refurb CPU's I buy. I suspect the refurb part has to do with extracting a functional unit, cleaning it up, run it through a few diagnostic tests, package it and sell it. I've also purchase refurb speakers with the same success. Matter of fact, as I think about it, I've purchased a number of refurb products (not necessarily electronics related) that all worked just fine.