It was at this time that Höch became one of the first pioneers of the art form that would come to be known as photomontage. Photomontage (or fotomontage), is a type of collage in which the pasted items are actual photographs or photographic reproductions pulled from the press or other widely produced media.
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After her schooling, she worked in the handicrafts department for Ullstein Verlag (The Ullstein Press), designing dress and embroidery patterns for Die Dame (The Lady) and Die Praktische Berlinerin (The Practical Berlin Woman). The influence of this early work and training can be seen in her later work involving references to dress patterns and textiles.