https://metacpan.org/pod/Cairo says:
“Cairo - Perl interface to the cairo 2d vector graphics library”
Do you have the cairo library installed?
I work in windows 10 with Strawbery
but if I try install Gtk2
C:\>cpan install Gtk2
Loading internal logger. Log::Log4perl recommended for better logging
CPAN: CPAN::SQLite loaded ok (v0.219)
Database was generated on Thu, 04 Nov 2021 13:06:54 GMT
Running install for module 'Gtk2'
CPAN: Digest::SHA loaded ok (v6.02)
CPAN: Compress::Zlib loaded ok (v2.096)
Checksum for C:\STRAWB~1\cpan\sources\authors\id\X\XA\XAOC\Gtk2-1.24993.tar.gz ok
CPAN: Archive::Tar loaded ok (v2.38)
CPAN: YAML::XS loaded ok (v0.82)
CPAN: CPAN::Meta::Requirements loaded ok (v2.140)
CPAN: Parse::CPAN::Meta loaded ok (v2.150010)
CPAN: CPAN::Meta loaded ok (v2.150010)
CPAN: Module::CoreList loaded ok (v5.20200717)
---- Unsatisfied dependencies detected during ----
---- XAOC/Gtk2-1.24993.tar.gz ----
Cairo [build_requires]
Glib [build_requires]
Pango [build_requires]
Running install for module 'Cairo'
Checksum for C:\STRAWB~1\cpan\sources\authors\id\X\XA\XAOC\Cairo-1.109.tar.gz ok
Configuring X/XA/XAOC/Cairo-1.109.tar.gz with Makefile.PL
at Makefile.PL line 99.
*** can not find package cairo >= 1.0.0
*** check that it is properly installed and available in PKG_CONFIG_PATH
at Makefile.PL line 99.
No 'Makefile' created XAOC/Cairo-1.109.tar.gz
C:\Strawberry\perl\bin\perl.exe Makefile.PL -- NOT OK
Stopping: 'install' failed for 'Cairo'.