Usually nothing. It can be a small issue depending on the top weight of the ball and a possible layout your wanting to drill and maybe your span. More time then not it isn't an issue.
Example would be a 2" pin with 3.5 ozs of top weight and your wanting to go with a pin up drilling. Most spans would put the cg near the fingers and end up putting the ball over on allowed finger weight with out a weight hole in a less desired location. A 4" pin would make it a lot easier and give you more options on a weight hole location to increase the dynamics of the ball.
On pin down drillings the above ball wouldn't be a problem at all for almost any layout. That is the most common issue I ever see with it.
"1 of 1."