This study investigates the relationship between tourism and hospitality manager's perceptions of visible body modification (VBM) and recruitment and operational practices. It examines how managers evaluate, recruit and manage the appearance of employees with VBM. Qualitative research was undertaken, consisting of 14 semi-structured interviews with tourism managers in the North East of England. The interviews were thematically coded and analysed. It is demonstrated that managers recognize VBM as expressions of socio-cultural trends, however their personal experiences, values, expectations, knowledge and attitudes towards VBM may influence hiring practices. Organizations must continue to review their recruitment and operational policies to reflect the evolving socio-cultural values in contemporary society to be more inclusive and provide guidance and clarity concerning VBM. This study offers some important insights into the phenomena by developing an understanding of employees with VBM from the employer's lens, exploring employers' perceptions through their personal emotions, assumptions, misconceptions and societal expectations of the modern world.