PSA Fraud Report Identifies 400% Increase in Altered Pokemon Cards Grading Elite Fourum Is this ALTERNING Yes or No?, In most categories of collecting, altered, trimmed or otherwise restored items tend to have reduced value versus an unrestored item of the same approximate grade. In Custom Fan Art Pokemon Card Eevee Holo, Altered Art, Secret Rare, Near Mint Condition Pokemon Card Kangaskhan Ex SR 192 165 Pokemon 151 Scarlet & Violet Japanese Holo Card Altered Art Japanese 151 Kangaskhan Ex 192 165 Scarlet Violet Holo Card