The Daily Omnivore

Lower-back tattoos (often referred to as tramp stamps) are a form of body art that became popular among women in the 2000s and gained a reputation as a feminine type of tattoo. Although historically men comprised the majority of tattoo recipients, in the early 1990s, the practice gained popularity among women. In the early to mid-20th century, women with tattoos were heavily stigmatized, and were rarely found in middle-class society. Lower-back tattoos were popularized in the early 2000s, in part owing to the influence of celebrities, including Britney Spears, Christina Ricci, and Pamela Anderson. The popularity of low-rise jeans and crop tops may have also spurred the increase in lower-back tattoos.

Another appeal of tattooing the lower back is that there is little fat there, lessening the chance that images will become misshapen over time. Also, the lower back is often concealed, providing women the choice of when to reveal their tattoo. Medical practitioners who administer anesthesia have questioned whether epidural analgesia should be provided to women with lower-back tattoos. Concerns have emerged that epidural catheters may cause tattoo pigment to enter interspinous ligaments and other areas, potentially leading to health problems. There is general consensus that epidural catheters should not be placed through irritated or infected tattoos. However, harm has not been clearly documented when placing epidural catheters through healthy tattooed skin.