The ability to remove or change permanent jewelry depends on the specific type of jewelry and the individual's preferences. While some types of permanent jewelry, such as dermal piercings and microdermal implants, can be removed by a professional with proper technique, others, like subdermal implants or certain types of implanted jewelry, may require surgical intervention for removal. It's essential to consult with a professional piercer or healthcare provider for guidance on safe removal or modification of permanent jewelry.