The traditional ladies clothing is the puletasi which is a matching skirt and tunic with Samoan designs. The lava-lava is a sarong which may be worn by men or women. They are of different patterns and colors, but tend to be plain for men who may wear it as part of an official uniform. Some men have intricate and geometrical patterns that are tattooed onto their lower body and upper legs. The tattooing process is performed without any anaesthesia and is extremely painful.