Once the area is cleaned, the piercer and the client will agree on placement, although because of its location it can be difficult to see exactly where the entrance and exit holes will be.

These soaks will soften any dried lymph, clean the piercing as well as the jewellery, partially sterilize the area due to the salt, and alleviate swelling and soreness.

Care should be taken when changing shirts so that the jewellery isn't tugged as well as when using a telephone as the receiver may spread germs to the wound and the pressure can delay healing.

Much of the cartilage in the ear receives comparatively little blood flow accounting for the increased healing time and persistent soreness.

Any type of body modification jewelry can be worn in the piercing with the most common being CBRs (captive bead ring) and curved barbells.

People often choose relatively small diameter rings and shorter barbells owing to the confined space of the piercing.

An experienced piercer will be able to accurately assess whether or not the client's ear is suited for a rook piercing and will likely refuse to perform the modification on someone with an inadequate ridge.

Depending on the size and thickness of one's antihelix in this area, the increased curvature of a CBR (as opposed to a curved barbell) can put undue strain on the healing fistula which can prolong soreness and promote migration.

In general, a person with decent health and proper hygiene is unlikely to experience any complications or pain outside of the normal healing process.