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What do you think about people who do extreme piercings, tattoos, or body modifications?

Do you think it is just a form of expressing yourself or is there a deeper psychological meaning?
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SW-User
It's their choice, so it matters little whether I approve or not
NineLives · 41-45, F
I understand that people don't need approval to become pierced or tattooed. I was just wondering why do you think they do it?