Transscrotal procedure is a body modification done on the scrotum, in which a hole is made through the entire scrotum and jewelry is placed inside the hole. This is similar to a piercing, so it is sometimes considered a type of a scrotum piercing. However, Transscrotal procedures are much more complex and extreme than regular scrotum piercings. While a common scrotum piercing goes only through the skin of the scrotum, Transscrotal procedures go through the entire scrotum. In order to do this, a piercer has to use more complex techniques that typically involve a scalper. This is much more serious than a simple piercing on the skin. A result of a Transscrotal procedure is a large gauge hole that splits the scrotum. The hole enters on one side of the scrotum and exits on the other.
It is important to remember that Transscrotal procedures are very complex and not all piercing artists can perform them. The incision is made with a scalpel and the hole is always large gauge: minimum 2 gauge, though it can be larger. In order for the procedure to be a success it is important to use correct stitching. Typical jewelry for a Transscrotal procedure is a plug or large gauge Captive Bead Ring and barbell.