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The butt is mostly soft tissue, so normally it wouldn't be much there to x-ray. But you might have something going on with/in your lower spine, pelvis or hips, which might benefit from an x-ray.
In which case the precedure would be as with pretty much any x-ray. Get on the table, have the radiation source above you and the plate below. Get irradiated. Wait while the plate is developed. Listen to the doctor interpret the image.
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