As part of her current lifestyle, a 28 year old Caucasian woman routinely injures and allows subsequent healing of her skin and other tissues.  Her body modifications include a “split tongue” (a tongue split to the base), which does not interfere with speaking and eating. Other modifications include large scarification patterns produced by branding and cutting.  This woman has been known to eat parts of her skin, which were previously cut out of her body.  She also performs “needle play” by allowing medical syringe needles to be lodged temporarily under her skin.  The patient had a normal childhood, is currently employed full-time as an office manager, and is psychologically stable.  Although one other case of self-induced penoscrotal hypospadias is known, this is the only report of extensive, non-psychotic, and autodestructive behavior.  However, this may not be the case in the future as an increasing number of young individuals have become interested in body modifications.