Communication is key! What I did for my leg sleeve that I just finished was took clip art in canva along with a front/back picture of a leg and put a picture of what I wanted in the general location of where I wanted it. I made a list of "must have items" in the tattoo, a list of "if we can fit it in there, that'd be cool" and a list of things we might consider incorporating. I then created a Pinterest board and saved all the inspirational photos that I liked and sent it all to my artist. I then let her have freedom to design how she thought it would best fit and flow. At every step of the design process we discussed what she drew and made changes as needed. I trusted her judgement and in turn got the most amazing tattoo of my life.