Star quilts hold deep cultural significance in Lakota communities. Traditionally, buffalo hides were used as ceremonial gifts—painted and decorated to mark social status, promote healing, and record important life events. But after the near-eradication of the buffalo herds in the late 1800s, quilting was introduced by missionaries, and the Lakota began using fabric to carry on these traditions. The star pattern, with its radiating points and concentric circles, became a powerful replacement for the imagery once painted on hides. Today, star quilts are used in Lakota ceremonies and celebrations—given in honor, in memory, and in love.