The image shows a close-up of a surgical procedure being performed in an operating room. There are two hands wearing blue gloves holding surgical instruments, one of which is holding a pair of scissors and the other is using a surgical forceps. The person's hands are positioned on the right side of the image, while the person on the left side is holding the forceps in their left hand. The forceps are being used to remove a small amount of blood from the heart. The heart appears to be in the process of being removed, as there are several tubes and wires visible in the background. The image is taken from a top-down perspective, and the focus is on the hands and the surgical instruments.