The practice is generally considered "safe sex" as long as the hands are protected with latex gloves.[12] The nails
should be trimmed and filed; long, sharp or jagged nails can cause
cuts, injury, or severe infection. If there are cuts, infections, or
open wounds on the fingers extreme protection and care is necessary. If finger cots
are used they may slip off and remain inside the receptive partner. The
hands should be thoroughly washed with soap and warm water before
practicing any other activity to avoid spreading bacteria or germs. In
stimulating both the anus and vagina, separate latex gloves are to be
used for each to avoid cross contamination