In this study, we generate novel insights regarding bodily ornaments from indigenous societies of late precolonial Greater Antilles. Previous research has highlighted the sociopolitical role of valuable, exotic, and figurative ornaments, yet there are many gaps in our current understanding of these artifacts. Here, we focus on ornaments from five recently excavated sites in the Dominican Republic (AD 800–1600). We used microwear analysis to investigate each ornament and assess its production sequence and use life. These data permitted the definition of morpho-technical groups, which we then compared to depositional contexts and the regional availability of raw materials. We demonstrate that (1) there was small-scale production of ornaments at the sites, (2) the most recurrent morpho-technical groups were likely imported from production centers, and (3) ornaments of the same group could lead different use lives and be deposited through varied processes. We conclude that bodily ornaments had highly diverse biographies involving local and regional interaction networks.