The Surma value their scars and place significant meaning on each. Women create various scars by cutting their skin with a sharp blade after lifting it with a thorn to create designs. After the skin is sliced the piece of skin left over is left to eventually heal as a scar. Scarification varies from fine swirls of raised flesh to intricate dotted patterns. They’re a significant detail of their culture and significant meaning from beauty to adulthood or a mark of a particular tribe.