Couples called big pig's hooves means an intimate expression, indicating intimacy and mutual admiration for each other. Typically, boys are called pig's hooves and girls pig's head, a sweet term of endearment often used between couples who are passionately in love.

In some regions, pig's hooves also symbolize the male genitals, so the epithet may also have that meaning. However, between lovers, the main meaning of pig's trotters is still to express intimacy and care for each other.