I have been pierced with a hook no less the 5 times. Barb in one side and out the other...OOOUGHHHHH...all requiring an EMR visit. The only piercings that I have have ever had. Worst was w/a 15lb bluefish on a jetty...trying to unhook and pierced, hook and barb under the skin. The fish shakes and out the other side of the skin comes the hook

Luckily a fisherman nearby was able to help.