Love it or hate it, take it or leave it, more celebs are talking freely about plastic surgery. Some wanted to change their appearance in pursuit of beauty. Others went under the knife for health reasons. There’s refreshing candor in what these notables have to say about the experience.

Almost four decades after plastic surgery to alter her nose, former Friends actress Lisa Kudrow still says the decision improved her life dramatically. She underwent surgery during the summer before she entered a new high school. “I went from, in my mind, hideous, to not hideous,” Kudrow told The Saturday Evening Post in 2013. “So there were plenty of people who wouldn’t know how hideous I looked before.”

Trust The Talk’s Sharon Osbourne to deliver absolute honesty to anyone who is thinking about getting a face lift. It hurts. “If anybody says their face-lift doesn’t hurt, they’re lying. It was like I’d spent the night with an ax murderer,” she told People in 2003. “They take your ears off and put them back on.”

Coming clean relieved Iggy Azalea from worry that tabloids would out her breast augmentation to the world. “I’d feel better not to have some secret,” the Australian rapper said in 2015. “I just feel it’s freer to just say it, and then you don’t have to worry about if anyone is gonna dig up things.”

It’s not always about looks and beauty. When rumors surfaced about actress Ashley Tisdale’s nose job, she stepped in to set the record straight. Her plastic surgery corrected a deviated septum that interfered with her breathing. “I want my fans to know the truth. I’m not someone who is going to act like I had nothing done. I just want to be honest because my fans are everything to me,” she said. The surgery was strictly for health reasons.

Regrets? She’s had a few, former Friends star Courteney Cox admits. “I have done things that I regret and luckily there are things that dissolve and go away. So that’s good because it’s not always been my best look,” Cox has said without going into details about her procedures.

For sheer invisibility of work done, no celebrity tops 62-year-old Christie Brinkley. The fashion industry star and top model displays admirable judgment when it comes the procedures she’s had. “If you want to look refreshed, it has to be with a light hand,” she said. “It’s one of the biggest mistakes when people deliberately go for that ‘done’ appearance — to each his own, obviously, but that’s not good.” She added, “It’s important to choose the right doctor if you want to do anything along those lines. Don’t change your face; maybe just change a wrinkle or two that’s bothering you. You still should look like you.”

Read more: Celebrities Talk About Plastic Surgery