Conspicuous tattoos and other body modification can make gainful employment difficult in many fields.

In Japan, tattoos are strongly associated with the yakuza, particularly full body tattoos done the traditional Japanese way (Tebori). Certain public Japanese bathhouses (sentō) and gymnasiums often openly ban those bearing large or graphic tattoos in an attempt to prevent Yakuza from entering.

In the United States many prisoners and criminal gangs use distinctive tattoos to indicate facts about their criminal behavior, prison sentences, and organizational affiliation. A tear tattoo, for example, can be symbolic of murder, with each tear representing the death of a friend. At the same time, members of the U.S. military have an equally well established and longstanding history of tattooing to indicate military units, battles, kills, etc., an association which remains widespread among older Americans. Tattooing is also common in the British Armed Forces.

Insofar as this cultural or subcultural use of tattoos predates the widespread popularity of tattoos in the general population, tattoos are still associated with criminality. Although the general acceptance of tattoos is on the rise in Western society, they still carry a heavy stigma among certain social groups.

The prevalence of women in the tattoo industry, along with larger numbers of women bearing tattoos, is changing negative perceptions. A study of "at-risk" (as defined by school absenteeism and truancy) adolescent girls showed a positive correlation between body-modification and negative feelings towards the body and self-esteem; however, also illustrating a strong motive for body-modification as the search for "self and attempts to attain mastery and control over the body in an age of increasing alienation."