This design features a graphic design with the text "MIDDLE SISTER" prominently displayed. The text is stylized with a cursive font and is accompanied by decorative elements. There are two stars, one on each side of the text, and a small leaf design below the word "Sister." The overall design is simple yet decorative, with a black and white color scheme. The text is likely intended to convey a message of affection or celebration of a middle sibling.