There are a few things you need before starting to make a birthday card with Photoshop. First, you will need to have a copy of Photoshop. Second, you will need to have some basic photo editing skills. Third, you will need to be familiar with the tools that Photoshop offers. Finally, you will need to know how to create cards using the different types of templates that are available. To begin, open up Photoshop and create a new document by clicking on the New button in the top left corner of the screen. Once created, name your document BirthdayCard and click on the OK button in the bottom left corner of the screen. Next, select some basic photo editing tools such as cropping and resizing photos. Next, select one or more photos from your camera roll and drag them into your document so they are all facing outwards. Once all photos have been dragged into your document, press Ctrl+F5 to paste them into place (you can also use Ctrl+V). Now click on the OK button in the bottom left corner of the screen and close Photoshop. Now open up another program such as Microsoft Word and start writing your card using one of the templates that are available online or within Adobe Photoshop itself. For example, if you want to create a simple card with just text then use CardTemplate1 or CardTemplate2 (depending on which template you choose). Once finished writing your card using Word, close it down again and paste it into an email or other document so people can see it when they receive an email about their birthday!