Genital piercing is a form of body piercing that involves piercing a part of the genitalia, thus creating a suitable place for wearing different types of jewellery. Nevertheless, the term may also be used pars pro toto to indicate all body piercings in the area of the anus, perineum, penis, scrotum, and vulva, including piercings such as anal, guiche, and pubic that do not involve perforation of genitalia. Genital piercings can be done regardless of sex, with various forms of piercings available. The main motive is beautification and individualization; in addition, some piercings enhance sexual pleasure by increasing stimulation. Pre-modern genital piercings is most culturally widespread in Southeast Asia, where it has been part of traditional practice since ancient times. Records of genital piercing are found in the Kama Sutra. The practice also spread to neighboring regions, where scattered references to genital piercings exist, like the South Asian apadravya, a male genital piercing that passes vertically through the glans (unlike most Southeast Asian piercings which are inserted horizontally), in the Kama Sutra (2nd century AD). Other smaller traditions of genital piercings also arose independently in other cultures (like in Central America).

The anonymously-written Boxer Codex () also has a similar description: