My back piece started off with just the kanji, which is my daughters name. Then, years later I added a lower back piece (we are in the process of covering that). The birds came in next, with the banners following. Then the sacred heart was added, then the ray/cloud pieces. The lotus was selected to cover the scrolly design I had on my lower back (no tramp stamps for THIS girl). My back piece is a dedication to my family as they are my rock.