Destination weddings? Old news. But destination plastic surgery? A movement in the making, cultishly trending among thousands of prospective patients. This is not medical tourism, mind you—that’s a topic for another time. What we’re talking about here is crossing state lines for a nose job or tummy tuck.

According to our first-ever Cosmetic Surgery Travel Report, 45% of RealSelf members (based on a sample of more than 1.75 million users) who searched for an aesthetic provider during the first half of 2019 were seeking one outside their home state. The top destinations were Florida (no surprise there), California and New York (now we’re intrigued!).