The image appears to be a graphic or illustration with a white background. It features a stylized depiction of a pair of scissors with a green skull peeking out from behind them. The scissors have a cross symbol on one of the blades, suggesting a medical or healthcare theme. There is also a text that reads "HOW ASK ME TO BE A REAL MAN" in a bold, capitalized font. The overall style of the image is simple and cartoonish, with a limited color palette.