Once you have a scan of the item (so you don't ruin the book) you then make sure it is the right size, once to a desired scale it is then time to lace some special ink paper underneath then place the scan on top or a piece of paper.

If done correctly it should look something like this:

It is then time to work out where a-bouts the image will be going on the body, this is vital as it is on the person forever, for pieces like so the symmetry is the key and around about the centre of the chest is where the image should lay.