I hear from people all the time about to get their ears pierced that they want surgical steel because it's "the best". Well, it's not. Surgical steel is steel with surgical placed in front of it. Get it? Most steel has traces of nickel, the Western Family of metals in it. You don't want nickel in you. It's crap. If you have sensitive skin or alergies to any metals go with titanium. This one idiot tried to tell me that titanium was made with nickel. Yeah... and BMWs have Chevy parts. Titanium is the purest metal there is and is the best for piercing.