You're going to have to be a bit more specific... The way I do it is like this:
1. I draw the image in flash or ms paint.
I make different animations for each
Buttons that gets pressed etc.
2. Create an actor in GE for your background
Image. And a different actors for each
Button.
3. Either create another actor(filled region)
To place over each button, or simply
Add a key down function on the button
Actor.
4. Now, tell the buttons what you want
Them to do. Example;
ChangeAnimation, "new game button", " button pressed", "NO_CHANGE";
LoadGame("levelOne.ged") etc...
Basically like that.. Sorry for the incorrect
Language, I'm typing this on my phone haha.
Hope this was useful!
And anymore questions just ask