Often reserved for the select few, the tradition is slowly gaining popularity with Samoans living abroad.
Now the Malofie exhibition in Porirua has brought Samoa's most famous tattoo artist to our shores, in a bid to reconnect people with their culture.
The saying goes: if there's no pain, there's no gain. And Tafaoali'i Tuna Talamaivao's body is proof he's committed to getting his pe'a.
"It's very painful aye, very painful, it's not easy," he told Newshub.