Thanks to a new generation growing up on TikTok and other social media, discussions on mental health, sexual activity and body-shaming are getting more normal by the day. Heck, people even seem happy to wax lyrical about their sex toys and fetishes, too. So why is there still stigma about the butthole?

Evan Goldstein, D.O., and his team at Bespoke Surgical are helping to shift that conversation.

"Anal is the final frontier," Goldstein, Bespoke CEO and founder, explained by phone from his New York City office. "People don't want to talk about it. It's taboo. But when they have problems, they don't know where to go, and ordinary doctors have no idea. We need to destigmatize the issue."

In this effort, Bespoke Surgical offers such services for the anus as restoration, cleansing and aesthetics, including bleaching and microneedling. Goldstein has received clients from all over the world who have one of two requests: to heal any issues back there or to improve