The grain-of-sand pearl story is a myth
Everyone is told a pearl grows around a grain of sand that worked its way in, but it almost never happens that way. Sand is inert and slips back out without provoking anything. Real pearls usually begin with a parasite boring in, or a stray fragment of the mollusc's own soft mantle tissue getting displaced inside the body. Those living cells multiply into a sealed pocket, the pearl sac, which secretes layer after layer of nacre to wall the intruder off. Because it depends on chance, a natural gem pearl is genuinely rare.