Where it starts
A vanity is small joinery done well, so the detail, the drawers and the finish are worth the same care as the kitchen.
Bathrooms are the room where cheap cabinetry gives itself away fastest. It is a small wet space, everything is seen from close up, and the drawers are opened several times a day by people in a hurry. So we build a vanity the way we build a kitchen: the same carcase construction, the same soft-close hardware, and the same paint line.
The two decisions that shape the room are how the vanity meets the floor and what happens around the basin. A floating vanity makes a small bathroom read larger and makes the floor easier to clean, but it needs the plumbing set out before the wall is closed up. A floor-standing vanity gives you more storage and is more forgiving on an uneven floor. Around the basin, an undermount basin gives you a clean stone run to wipe down, while a top-mounted basin gives you back a full drawer underneath.
Then it is the everyday things. A drawer notched around the waste so it still opens. A shaving cabinet with the power inside it rather than a bare socket on the tiles. Enough clearance for the tapware you have actually chosen. We work these out on the drawing rather than on site.