Starting in 2008, any Truly Me doll can get her ears pierced--if ordered off the website, this must be done at purchase. Otherwise the doll must be taken to a store or shipped to American Girl directly. For Historical Characters, ear piercing is often not available as an option at the time of purchase online. A purchase at any American Girl Place can be done soon after purchase, and AG will perform piercing services for any 18" doll for a fee of $16. Ear piercing is not available to Bitty Baby or Bitty Twins, presumably due to to the lowest target age of three.