This article explores the history and acceptance of piercings in Japan, as well as piercing etiquette, popular types of piercings, age restrictions, aftercare tips, safety and hygiene measures. It explains that attitudes towards body modification have changed significantly since the Meiji period when it was associated with criminality and outlawed. Today, piercings are accepted among young people as a form of self-expression or fashion statement. It is important to follow etiquette guidelines and safety & hygiene measures when considering getting pierced in Japan.