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I think it just means to go to the toilet though there could be something else it refers to.

"To take a piss" means "to urinate", or "to go the toilet". On the other hand, "to take the piss" means "to ridicule" or "to tease in a derisive manner".

Thus, in a pub: to say "Excuse me, I have to take a piss" should lead to no altercation. But "Are you taking the piss" just might.

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14y ago
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Q: What does the English slang take a piss mean?
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