Personally, I think mine have somewhat shifted or rather the interest has decreased significantly due to lack of pro(s) willing to do it locally. I used to be really interested in needle play but as of the last two years, it has decreased significantly due to lack of pro(s) who were proficient in it or listed it as an interest. I've always liked enduring needle play down below but in the DC market there is not enough pro-dommes who list it as a interest. I've asked a few who were into medical play and they seemed less than interested in it. But also at the same time, the ones I've contacted who said yes, their level of needle play actually was beyond what I was comfortable with. Not sure if out of fear I decided not to try needle play with them was the reason I decided not to.