At its core, engaging in extreme body modifications is a way for people to express and reflect their innermost identities. By altering their external appearance, these individuals are hoping to manifest the identities they feel within them in a way that resonates with them. For many, the journey of seeking these changes can range from a desire to find an outlet for creativity and self-expression, to a need to forge a personal identity that reflects their internal experience of the world. In other cases, body modification may be seen as a way to spiritual or religious fulfilment for many practitioners, providing a connection between ideology and tangible embodiment in the physical realm.The history of body modification reaches far into prehistory. Although the meaning and symbolism of body modification practices have changed.