Difficult to explain graphically, Mayflower, but I think the words are clear if you look at the stuffed dog in process. It is a recommendation about how to position its head in relation to the rest of the body. If you cannot figure out where the top and bottom (rear) of the body are, then forget the instruction and place the head in a normal or cute position as determined by yourself. Then sew it on, and presto! The perfect gift for a wee friend!