Four Little Piggies
It is expected that life will throw us curveballs. Everyone would love to make it through life with five toes on each foot, and then the unexpected happens, and the big toe has to go away. When this happens, we have to find a way to deal with getting through the rest of life sans one toe.
This person decided to cope by getting body art explaining where their little piggy went. At least whoever did the tattoo did a good job. Maybe the person got tired of questions about where their toe went, and this is a clever way of dealing with questions.