Permanent body modification is a unique and variable practice among humans, not observed in other mammals. Despite being costly and risky, it is regularly performed. Scientific understanding of this phenomenon is nascent, prompting a symposium aiming to assess current research status and prioritize questions for the next decade. The event brings together academics and industry practitioners, exploring historical and contemporary practices like tattooing, piercing, finger amputation, and cranial modification. The symposium aims to investigate the 'when' and 'where' of permanent body modification and understand the motivations behind it, considering personal justifications and scientific hypotheses. Recorded on 02/09/2024. (#39476)