A black hole quantum state (Hartle-Hawking or Boulware) is usually defined in a fixed background of a classical black hole. In my talk I will discuss the corresponding space-time geometry when the back-reaction is taken into account. The important questions include: does the back-reacted geometry always contain a horizon?; how it depends on the choice of the quantum state?; and what is the right choice for the quantum state for the non-physical fields such as ghosts? I will answer these and other questions in the context of a two-dimensional dilaton gravity. The talk is based on a joint recent work with D. Sarkar and Y. Potaux, arXiv:2112.03855.