I've pierced my tongue three times. The first time I could only keep it in for about 24 hours and the pain and the swelling were just too much. The second time I made it to about 72 hours. Finally, on the third time I had about a dozen vicodin on hand and would just take a half of one when I needed too. After about a week the swelling went down and I was fine from there on in. If I ever get some more I'm going to do a second one in front of the current one.