As long as the piercings are fully healed and the piercer has given you the OK for sexual activity, Osé 2 can be used with piercings. If you have a hood piercing depending on the type of jewelry, it may take some practice and finding the right position with the clitoral stimulator. It depends on the size and shape of the clitoris, but we designed the mouth of the clitoral stimulator to be quite wide and flexible to accommodate different anatomy types. It may take a bit of exploring, but that's part of the fun.