The image shows a group of people gathered around a table with a Winnie the Pooh themed birthday cake. There are three women in the image, two of whom are wearing red dresses and one of whom is wearing a white dress. The woman in the red dress is holding a plate with the cake on it, while the other two women are looking at it with smiles on their faces.

In the foreground, there is a young girl in a wheelchair, wearing a pink dress and a crown on her head. She is looking at the cake with a curious expression on her face. Next to her, there are several gift boxes with Winnie-the-Pooh faces on them. The background shows a red carpet and other people, suggesting that the scene is taking place at a party or celebration.