Seoul, South Korea, is the global plastic surgery capital.

The high-status neighborhood of Gangnam reportedly has 500 aesthetic centers alone.

Why the concentration? Because South Korea has the most plastic surgeries per capita on earth, with over 980,000 recorded operations in 2014. That’s 20 procedures per 1,000 people, putting it ahead of the US’s 13 procedures per 1,000. And Korea has had the most operationsper capita since 2009.

Tech Insider visited JK Plastic Surgery, one of South Korea’s leading cosmetic centers, to learn more about why plastic surgery is so central to the culture.