Body piercing has a long history. Multiple types of piercings date back at least to 5000 B.C.E. The most common places on the body to pierce have been the ear (especially the lobe, but also the rim of the outer ear), the nasal septum or nostrils, and areas on or around the mouth and lips. While ear piercing was most common among females in twentieth‐century Europe and North America, the period of the 1980s–1990s experienced a body piercing renaissance. Not only were piercing techniques improved and innovated upon, but new types of piercing emerged, such as navel, tongue, nipple, and female genitalia. This body piercing renaissance has roots in the predominately gay male leatherman culture that began in the 1940s, and piercing became a political symbol for gay identity in the 1970s. Since that time body piercing has become more accepted in mainstream culture. The philosophy of the modern primitives, in part, helped to facilitate this by articulating modification practices as individualistic self‐expression. Contemporary piercing practices are done for reasons such as beautification/aesthetics, culture, religiosity/spirituality, politics, therapy, and eroticism.