The image is a black and white illustration featuring a skull with a beard and a bandana, wearing a pirate hat. The skull is positioned in the center of the image, and it's surrounded by various objects. To the left of the skull, there's a wrench, and to the right, there's a pipe with a valve. Above the skull, the text reads "I WAS UGLY" in a bold, capitalized font. Below the skull, the text "UNTIL SHE SAW BIKE" is written, and beneath that, "SAW BIKE" is displayed in a larger, bold font. The overall style of the image is reminiscent of a tattoo design, with a grunge aesthetic. The text and imagery suggest a narrative of transformation or rebirth.