Packing and covering problems for geometric regions have been studied under many notions of complexity, including VC-dimension, union complexity, shallow-cell complexity, and fatness. Although these restrictions often yield constant-factor approximation algorithms, they do not by themselves generally lead to PTASs. A recurring feature of known hardness constructions is that one region may be \emph{pierced} by many others: a region $B$ pierces $A$ when $A\setminus B$ is disconnected. We study geometric instances through the \emph{piercing degree}. Since piercing is symmetric for Jordan regions, this is the maximum degree of the corresponding piercing graph. Our main result is that, for every fixed piercing degree, the standard local-search algorithms give PTASs for the unweighted \emph{Discrete Independent Set} and \emph{Set Cover} problems. The proof constructs a sublinear balanced separator for an appropriate locality graph and applies it adaptively throughout the recursive local-search analysis. This guarantee depends only on the piercing degree; in particular, it places no bound on the number of components created by an individual piercing pair. We also prove a polynomial shallow-trace bound depending only on the piercing degree. As consequences, for every fixed piercing degree, weighted Set Cover admits a deterministic $C_r$-approximation and weighted Discrete Independent Set admits a deterministic $O(r+1)$-approximation. These results extend the known guarantees for non-piercing families and apply, for example, to axis-parallel rectangles when every rectangle is pierced by only a bounded number of other rectangles.

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