It is a piercing done at the rear rim of the vulva, in the area of frenulum of labia minora.

Many women do not have a pinchable flap of skin in the area, and are not suited for this piercing.

It requires a pinchable flap of skin at the rear rim of the vulva.

Hygiene is usually a concern; with the piercing's proximity to the anus, the wearer must ensure the area is well cleaned following defecation.

Discomfort with sexual intercourse has been reported by some wearers,[5] whereas some may find it quite pleasurable.