To the Editor: Body piercing has become increasingly popular and socially accepted throughout all age groups; it is particularly prevalent in the adolescent population.1 Current information states that nipple piercing is generally not deemed to be detrimental to maternal milk supply.2 However, irritation or trauma may predispose a nipple-pierced breast to infant attachment problems or blocked ducts.3 We present 3 patients with lactation difficulties suggesting that nipple piercings can lead to complications and that these complications can be associated with breastfeeding difficulties.