Although historically in the western world men are more often tattooed than women, in the early 1990s the practice gained popularity among women.[1] Prior to the late 20th century, women with tattoos were heavily stigmatized, and were rarely found in middle-class society.[2] Lower-back tattoos were popularized in the early 2000s, in part owing to the influence of female celebrities, including Britney Spears, Aaliyah, Christina Ricci and Pamela Anderson. The popularity of low-rise jeans and crop tops may have also spurred the increase in lower-back tattoos.[4] Another appeal of tattooing the lower back is that there is little fat there, lessening the chance that images will become misshapen over time.[5] Also, the lower back is often concealed, providing women the choice of when to reveal their tattoo.[3] Although some males have lower-back tattoos, including some celebrities,[4] they are generally not acquired by men.[6]