Tien jaar geleden heb ik hem laten zetten, de piercing in mijn navel.

From Lesson 384:Right dislocation·Dutch

Questions & Answers about Tien jaar geleden heb ik hem laten zetten, de piercing in mijn navel.

Why is the pronoun hem used here instead of het, and how does it relate to the end of the sentence?
The pronoun hem acts as a placeholder for the object that is being clarified at the end of the sentence. Because piercing is a de-word, the corresponding object pronoun is hem. This structure is called right dislocation, where you use a pronoun early on and reveal the full noun phrase at the very end.
Why do we use laten zetten instead of a past participle like gelaten gezet?
This is an example of the double infinitive rule. When you use a causative verb like laten (to have something done) alongside another verb in the present perfect tense, Dutch replaces the expected past participle with an infinitive. Therefore, heb ... laten zetten is the correct form.
Why is the verb zetten used for getting a piercing?
In Dutch, zetten (to place or to set) is the standard verb used when talking about having a body modification applied. You will frequently hear native speakers use phrases like een piercing laten zetten or een tatoeage laten zetten.
Why is the word order heb ik rather than ik heb?
Because the sentence starts with the time phrase Tien jaar geleden, it triggers subject-verb inversion. The conjugated verb heb must be in the second grammatical position of the sentence, pushing the subject ik right behind it.

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