Hello. I've probably had more experience than anyone on this board since I'm almost 63 years old. My PWS is on my left thumb and the top of my hand and travels up my left arm, skipping a few places here and there. I have always hated having these marks, but I went ahead and lived as normally as possible, even wearing strapless evening gowns and swimsuits. People have always been kind to me. I have had comments but when I explained that the marks were birthmarks, no one said anything more about it. I was constantly the new girl in school since we moved often, but I was always accepted with no problems, even being selected to be in beauty contests. It didn't keep me from having boyfriends or husbands either! I have been truly blessed. I do prefer to hide the marks, but I don't think it's something anyone should feel they have to do.