This episode profiles four women who practice body alteration, which some would refer to as mutilation. Anne runs a piercing shop in Los Angeles, but she isn't doing your typical body piercings. She is a play piercer that will pierce legs, backs, and arms, and also hosts suspension parties, where participants pierce thick hooks through their backs and hang from the ceiling. Heather is in charge of multi-million properties by day, but when her job is done, she becomes Cookie. Cookie has many tattoos and sub-dermal implants that each have a special meaning behind them. Michelle was a rebel who got her first tattoo as a teenager. In college, she majored in painting, but her love of tattoos led to her to be the only woman who owns two tattoo shops in New York City. Natalie loves her freedom and is expressing it in a special way called scarification, which is cutting a design into the skin to create a raised and permanent scar. Though it is very painful, Natalie is willing to go through it in order to artistically express herself.