Published Article / Studies were undertaken in the Limpopo and Free State Provinces of South Africa to understand the beliefs, perceptions and health implications associated with geophagia. Questionnaires administered to 225 geophagic females covered their demographic details, their reasons for ingesting geophagic clayey soils and their perceptions regarding associated health conditions and implications. Respondents ingested clayey soils for body cleansing, craving, nutrient supplementation and weight loss. Some respondents considered the soils harmful, and < 50% of respondents had some knowledge of the contents of soils they ingested. Medical reasons in support of geophagia included lack of knowledge on the health implications of the practice. Medical consequences associated with geophagia may have occurred as a result of a lack of knowledge of the health implications of the practice. A clear need for educating geophagic individuals regarding the health implications of geophagia is called for.