Abstract: Improved earring alignment piercing systems. In a first embodiment, the invention comprises first and second cartridges axially alignable with one another that may be deployed utilizing conventional deployment mechanisms. In the first cartridge, there is housed therein a compression disk, guidance member, piercing earring having a piercing pin formed thereon, and an alignment member arranged in a generally linear configuration. The second cartridge houses a clasp that, in use, receives and secures the piercing pin as the latter is advanced through said tissue and into the clasp. The guidance member and alignment member cooperate to insure that the piercing pin forms a generally straight pathway as the same is penetrated through tissue. In a second embodiment, there is provided a piercing earring having an elongate shaft portion with a cannula member detachably mounted thereon.