The image depicts two individuals engaged in what appears to be a tattooing or body modification process. The person on the left is standing and holding a piece of paper, possibly a guide or instruction for the tattooing process. The person on the right is seated and appears to be receiving the tattoo, with their arm extended towards the person holding the paper. Both individuals are wearing casual clothing, and the setting seems to be indoors, possibly in a studio or a tattoo parlor. The overall scene suggests a professional or semi-professional tattooing session.