Pointe dancing is an elite form of ballet, requiring years of training and dedication. While appearing light and ethereal, the dancer must be extremely strong. She has to have the technical skill to align her muscles and bones perfectly over the toes of one foot (about a square inch) while making it look effortless. Only students with the proper strength and dedication should go on pointe. Well trained, and with properly fitted shoes, a pointe student can progress from pre-pointe work to an advanced level with no ill effects.