Choose the size of puzzle you would like to purchase. We currently offer 3 different sizes 8 1/2 x 11, 11 x 17 and 4.5 x 6.25 Choose your own picture, I suggest you pick something colorful. If you are making a jigsaw puzzle for someone with Alzheimer’s I suggest you choose a picture that may jog their memory such as family members or a picture of something or someone near and dear to .