[1] The Christina piercing is anatomy dependent; it has a high rejection rate, and is not possible for all women due to anatomical variation.

If the flesh above the clitoris where the outer labia meet is fleshy enough to pinch, a Christina piercing may be successful.

[citation needed] If the flesh in this area is too tight to pinch, a Christina piercing is contraindicated.

[2] It is usually pierced with either a custom-made curved barbell or surface bar to reduce the risk of rejection.

Further difficulties can develop due to the relatively long piercing canal and constant movement and friction.