In modern English slang, "pegging" most often refers to the sexual act where a person uses a strap-on dildo to be anally penetrated by a partner. The term has gained visibility through popular culture and can refer to heterosexual or same-sex couples.
Sexual act:
The most common slang meaning is anal sex with a strap-on dildo. This is often used in the context of a woman penetrating a man, but it's not limited to that dynamic.
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