Firstly you need to import some form of artwork into the embroidery software.
You then have these options:
1. Use the auto-digitizing function to convert the image into embroidery
2. Manually digitize to create more complex and intricate embroidery designs with full control
3. Combine the two methods
When you combine the first two methods, some parts of the embroidery design you will create with the auto-digitizing tools and then manually digitize areas to add more detail.