The trunk, or proboscis, is a fusion of the nose and upper lip, although in early fetal life, the upper lip and trunk are separated. The trunk is elongated and specialised to become the elephant's most important and versatile appendage. It contains up to 150,000 separate muscle fascicles, with no bone and little fat.

Elephant trunks have multiple functions, including breathing, olfaction, touching, grasping, and sound production. The animal's sense of smell may be four times as sensitive as that of a bloodhound. The trunk's ability to make powerful twisting and coiling movements allows it to collect food, wrestle with other elephants, and lift up to 350 kg (770 lb). It can be used for delicate tasks, such as wiping an eye and checking an orifice, and is capable of cracking a peanut shell without breaking the seed. With its trunk, an elephant can reach items at heights of up to 7 m (23 ft) and dig for water under mud or sand.

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