Print design starts with concept development, where designers draw inspiration from themes, trends, culture, nature, or brand identity. These ideas are then translated into artwork such as patterns, illustrations, logos, typography, or graphic compositions using digital software or hand-drawn techniques.

A key part of print design is pattern engineering, which involves creating repeat patterns (such as all-over or continuous prints) that align seamlessly across fabric. Designers must consider scale, direction, and spacing so the print flows correctly on the garment and does not distort at seams or cut lines.