This was done by Lori St. Leone from Vogue Body Piercing in Darwin, NT, Australia. She writes that the client’s bones were fully formed and normal, but the two toes were fused by soft tissue and “very safe to pierce through”. She did the piercing in 14ga, with a gem setting on the top and a round bead on the bottom… For some people a flat disc would be used, but because of her anatomy (concave surface on the bottom), using a ball instead allowed Lori to do a placement that put nearly no pressure on the piercing during walking.
How strange is it that this is starting to become a not-so-uncommon piercing? Fused/webbed toes occur in about 1 in 2,000 people (including Marge Simpson), so maybe it’s about time to add a “Syndactyly Piercing” section or something?