By Kendra Jane

Authors note: During research for this brief piece it became apparent that is not a topic that one can do justice to in a few short paragraphs.  Please consider the following piece merely an introduction for a full length research article that will be forthcoming.

Informed consent is the process of getting permission from a patient before conducting a healthcare intervention. In the case of body piercing or modification (which for the purpose of this article may include, but not be limited to, scarring, branding, ablating, or suspension), it is the process of getting consent from a client prior to any procedure. Most body modification practitioners worldwide already obtain some sort of informed consent—borrowing relevant pieces from the medical world, mainly from the fields of medical ethics and research ethics.

Informed consent can be said to have been given based upon a clear appreciation and understanding of the fact, implications, and future consequences of an action. This means what maybe more than adequate information for lobe piercing is not adequate when that same lobe piercing is being done at an initial size over [for the sake of argument] 4 gauge. The information one must relay to a client about a navel or nipple piercing, versus multi point ear projects as an example.

In order to provide informed consent, the individual giving the consent must have adequate reasoning faculties (be of sound mind and judgment) and be in possession of all relevant facts at the time consent is given. This means they need to be given all and any information necessary to make an informed decision about the procedure at hand. Impairments to reasoning and judgment which may make it impossible for someone to give informed consent include such factors such as basic intellectual or emotional immaturity, age, inability to comprehend the future, and any other impairment.

Due to the fact that expressions of consent or understanding do not necessarily mean that full adult consent was in fact given—or that full comprehension of relevant issues occurred—makes the idea of informed consent even more complicated. (It is also possible for consent to be implied within the usual subtleties of human communication rather than explicitly negotiated verbally or in writing.) For this reason you document everything in writing, especially when it comes to your business and your livelihood. A person may state he/she understands the implications of some action, as part of their consent, but in fact has failed to appreciate the possible consequences fully and later deny the validity of their consent for this reason.

Note on Piercing Minors

Additional problems and ethical dilemmas arise when we talk about piercing a minor, or someone who is not able to provide consent for themselves based on laws and/or regulations. The American Academy of Pediatrics encourages medical professionals to seek the assent of older children and adolescents by providing age appropriate information to these children to help empower them in the decision making process, and this is something we—as piercers—can do as well.