Modifications, alterations, and enhancements to the body have been a practice forvarious ethnic, religious, and cultural groups across the globe for centuries. Over recent years, augmentations to the buttocks have become increasingly popular amongst women in Black and Brown communities. It is necessary to examine the health concerns, medical neglect, and societal influences that have contributed to the alarming increase of health complications and fatalities within these communities as a result of the procedures. Specifically, the administration of illegal injectable substances to the buttocks and the “Brazilian Butt Lift” procedure are in need of serious ethical focus and concern. In addition to the harmful health effects that result from these procedures, it is also important to recognize relevant societal and structural factors that intersect this rising issue. To fully comprehend the magnitude of the ongoing concerns, the history of buttock augmenting will be thoroughly discussed, other serious contributing factors, accessibility to adequate healthcare, and health knowledge. Cosmetic enhancements should come from a place of both empowerment and wellbeing, however the current conditions in the industry as it pertains to marginalized communities reflect otherwise. There are several contextual aspects as to why the ramifications of these procedures are so detrimental and it is my intention to highlight these issues, discuss the ethical implications, implore further research efforts, and then provide possible solutions to help address this growing issue. / Urban Bioethics