Background: Health concerns of body piercing include infection, scarring, allergic reactions, pain, and disease. Current gaps in the research include students' perceived piercing risks and safe piercing practices. Purpose: The purpose of this study was to examine university students' involvement in body piercing, risk consideration and adherence to safe piercing practices. Methods: A sample of 536 university students completed a 44-item survey regarding body piercing. Results: Results indicated that 35% had ever had a body piercing. Most obtained their piercing at a tattoo parlor (65%) and most did not consider the risks of allergic reaction (43%), HIV (31%), Hepatitis B (20%) or Hepatitis C (20%). Males were significantly less likely than females to have considered the risks and to have engaged in safe piercing practices. Two-thirds reported that information about the risks of body piercing would be helpful in making decisions on whether to obtain future piercings. Discussion: Education on potential complications is warranted. Awareness campaigns should ensure that young males are informed regarding risks and safety precautions. Translation to Health Education Practice: Health educators should become aware of the risks of piercings and share this information with young adults so they can make healthy and informed decisions. (Contains 5 tables.)