I took a long time doing research before I got my first tattoo (years), and after I decided on an artist talked to several people he'd worked on, had to wait three months for my first appointment. I decided to get a sleeve and told him, Japanese style, everything else is up to you. Same with my back, it was originally going to be a Kapala skull, but I showed up the morning of the appointment and he said, "I'm not feeling a Kapala skull, how about an Oni?" The results are in my avatar. I brought him a pic for second sleeve, but he just used some of the elements and for my leg I just said I want a Samuri and Tiger - all the details were left up to him. I'll occasionally make a suggestion, but for the most part, my input is very high level, just the image, all details left up to him.