We waited with our girls. Makena asked last year, and we got them done (she was 6). She was SO brave!!! I think daddy had a hard time though...hahahaha...his face was priceless when they did it. Turns out she is allergic to cheap metal and can only have 14K or better gold! So, we had some issues, because she had plated and that wasn't good enough. Once we sorted that out, it was fine and has been fine since. Kelana can have them done when she asks, and we will be buying 14K gold (not plated) this time. My sister had hers done when she was a baby, and although I think it looks cute, I wouldn't, just because I think making it a big special day is good, and letting them choose is a right.