Here is what I started with and I think I actually used it all! Sometimes I will cut pieces out but in the end they don't fit like I thought they would, so, I throw them away... I cut out the pirate and all his "pieces" as well as a piece of off-white paper for the card base. It is 5 1/2 x 8 1/2. I inked the edges of the card, the treasure box, the map and his body. To add the hook on the pirate's hand you must cut off his fingers so that you don't see them...FYI! I then ran most of the pieces through my xyron machine and started to assemble the card front. I needed space at the top for the "Get Well" stamp, so I placed the pirate and his treasure on the bottom part of the card.
Another thing that I do is I use face stamps instead of the cut out face on the cartridge. I cut out the "blackout" body and stamp the face on later. Peachy King Stamps (www.peachykeenstamps.com) sells all kinds of different face stamps for the Paper Dolls and they have other ideas on how to use them on their website. I bought the basic face set. It has 6 different expressions in 5 different sizes as well as one big size for the larger size dolls. I definitely recommend this stamp set if you use the paper doll cartridges a lot! It was one of my best purchases! It is roughly $25 for the set...worth every penny!