Tattoos and body piercings are becoming increasingly popular, particularly in adolescents and young adults. As the frequency of body art increases, so does the potential for adverse outcomes. Reasons for obtaining body art include need for individual expression and peer support. Techniques for tattooing are advancing, along with development of newer inks that may be less reactive. When patients become tired of their body art, or develop complications from the art itself, removal needs to be considered. Newer laser modalities may provide tattoo removal options with less scarring potential.