More vagina monologues are turning into dialogues with surgeons around the world.

From Georgia O’Keeffe’s symbolic flower paintings to President-elect Donald Trump’s “pussy grabbing” scandal, the vagina and what is considered acceptable to do with it captivate society.

Recently, women searching for more perfection, pleasure, or at times medical relief for this very private part of the female anatomy has lead to an uptick in elective vaginal plastic surgeries domestically and abroad.

Labiaplasty is still considered a new procedure by the American Society for Aesthetic Plastic Surgery, but the group reported an increase in these surgeries of 16 percent in 2015. One of Plastic Surgery News’ top stories of last year was on recommendations about teenagers choosing to undergo breast and vaginal plastic surgeries and the role of the surgeon in these decisions.