Shaped like the number
Lesbian 69 takes its name from its shape: two women lie head to toe, each with her face between the thighs of the other, like the curves of a six and a nine. Both mouths work at once, so each woman licks pussy and gets licked in the same moment.
Two mouths busy below the waist
The stacked version puts one woman on her back and the other on hands and knees above her, hips over the face below, and the woman on top controls depth and pressure by lowering or lifting her pelvis. A pillow under the head of the woman underneath saves her neck from straining upward. Lying on their sides takes gravity out of it: each woman bends her top leg to open space for the other's head, and neither carries any weight. Fingers join the tongue, with two fingers in her pussy and lips around the clit. In a lesbian 69, giving and receiving at the same time splits attention, so the licking runs in bursts with pauses for breath. Regular cunnilingus lets the receiving woman lie back and do nothing; a sixty-nine hands that luxury to neither woman. The narrow top of a massage table has room for the stacked version only, one body directly above the other. No other oral position lets both women be licked at the same time.