Tattooed hands are a tradition of both Paiwan and Rukai peoples. Noble women used to receive these tattoos as a rite of passage into adulthood. However, since the Japanese colonial era, the practice has been less common as it was discouraged and fined during that time. In the tradition, shamans would tattoo hands in different patterns for different personal backgrounds. Less noble women could have received it, but they had to pay a hefty price on top of inviting all members of the community to a banquet with the purpose of gaining the community's approval. Less noble women had different tattoo designs than noblewomen. The painful tattooing process represented dignity and honor and the suffering that one could endure.