Author Doug Mitchel, (author or the best-selling Advanced Tattoo Art book) uses 144 pages of color photos to show a variety of patriotic designs and how each was created on a living canvas. Each step in the process is here, from the initial concept drawing to the last prick. The book also includes pictures of exceptional finished tattoos, as well as flash art of the highest quality.

Ten chapters cover not just the American flag and the world's most famous logo, but also nautical themes, the American Bald Eagle, and military tattoos. The military tattoos are among the most poignant, as many are dedicated to comrades lost in battle. Where appropriate, the stories behind the tattoo are included as well.

Tattoos seen today are significantly different, most would say better and more powerful, than those seen ten or twenty years ago. The techniques and tools have changed as well. Doug uses the last chapter to discuss exactly how the new techniques and equipment are used to create more modern, more colorful, tattoos.