A fork of Rural Dictionary
Pain In the Ass - When someone is a PIA they are a PAIN IN the ASS.
My girlfriend is a PIA on Monday mornings.
Pimp in action, a sarcastic saying
Guy1:Yo! look at him with all those bitches
Guy2:PIA
Abbreviation for penis-in-anus sex, that is, sexual intercourse via the anus (anal sex).
Conner told his boyfriend he'd rather do PIA than settle for head.
Yesterday Marcus had condomless PIA sex with his wife.