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i want this but it has allot of risks and idk if im willing to take that lol i love piercings but what if they hit a vein/ so im confused maybe i will maybe i wont???? idk????????? omg decisons decisions? should i?? or should i not? The procedure is standard piercing with a needle and jewelry follow-through. The piercing takes longer to do, and can be quite painful. Some areas allow the use of spray anestheia for the procedure. If a horizontal tongue piercing is not done properly it will cripple the piercee`s ability to speak.