You'll lose your head over this costume and scary optical illusion. Just slip the black robe over your head. You'll look through a sheer area in front. Place the latex neck stump on top of your head and adjust the elastic strap under your chin for fit. Your right arm goes through a regular sleeve, but your left arm will work some freaky magic - the left arm is padded and has a latex skeleton hand puppet with a mouth that you can really move! Comfortable and easy to operate. Standard Adult Size.