Body modifications are becoming mainstream as more individuals are becoming tattooed. Using a convenience sample of college students, participants with and without tattoos were compared on measures of body appreciation, self-esteem, and need for uniqueness. Among these central Texas students 44% had at least one tattoo. Women, compared to men, were significantly more likely to have tattoos and also a facial piercing (other than ears) but scored lower on body appreciation and self-esteem. Body appreciation and self-esteem were correlated for both men and women together as well as separately. Top reasons given for getting tattooed included "To express myself," "To be an individual," and "To be unique." As tattoos become more common, fewer differences between college students with and without tattoos will be found; tattoos may be one mode of expressing individuality rather than a connotation of deviance.