This large birthday card has a large focal element which is a digital freebie from a clipart site. I printed several of them large so they would work well for large cards. I found some coordinating papers in my stash of scraps and then cut a background from a polka dot decorative paper. It was fairly quick to put together once I had the pieces cut. I did run my pattern tracing wheel all around the edges of my birthday greeting before adhering it to my card front with 3D foam tape. Therese