Whether you call it the Kardashian effect or blame Beyoncé for slaying so hard, bootylicious butts are in, as evidenced by enhancement procedures on the rise: Between 2016 and 2017 alone, there was a 10 percent increase in legal butt augmentations, according to data from the American Society of Plastic Surgeons, with more than 25,000 of these surgeries performed in the last year.

Because muscles and large blood vessels run through the pelvic and gluteal areas, cosmetic enhancements that agitate the area can provoke serious issues — particularly since the procedures are still pretty new. Here’s what you need to know before you consider any bottom-boosting strategy besides squatting.