The following set of photographs illustrates the main features
of the procedure during a Prince Albert piercing with a captured
bead ring. My technique relies on the use of anesthetic
to make the piercing itself painless.
Other piercers may use a receiving tube rather than a cannula.
The majority of piercers use no anesthetic.
The piercing passes through little tissue and is not as painful
without anesthetic as some may expect.
Whichever method you choose, make sure your piercer has plenty
of experience.
Disinfecting the skin surface using a Betadine
swab.
Squirting 2% Xylocaine jelly into the urethra to anesthetise
the site of the internal piercing hole.
Injecting 2% Plain Lidocaine at the site of the external
piercing hole.
Testing to check that the anesthetic has worked by gently
pricking with a 26g needle.
A piercing cannula is
being passed through the wall of the urethra.
The cannula has now passed from urethra to the underside
of the penis.  
One end of the ring has been
inserted into the end of the cannula
The captured bead ring is
being pushed backwards through the piercing guided by the cannula.
The ring has now passed through the piercing.
Using ring opening pliers to insert the ball into the
ring.