If celebs have taught us anything in recent years, it’s that the vulva and vagina aren’t off-limits when it comes to cosmetic treatments. From the Kardashian sisters’ openness about getting laser vaginal rejuvenation to Sharon Osborne talking about her vaginal tightening procedure, it’s clear that beautification treatments below the belt are becoming commonplace. And the trend is growing among non-celebrities too. In fact, when it comes to labiaplasty (aka “designer vagina” surgery, which involves altering the labia), there was a 53 percent increase in procedures from 2013 to 2018 in the U.S., according to the American Society for Aesthetic Plastic Surgery.

Regardless of the the exact reason behind the trend, vaginal health, and plastic surgery in and around the vaginal area, are getting more attention than ever before. Here, everything you need to know about labiaplasty and other common vaginal cosmetic procedures.