Began as an exclamatory, as in "Tits!", or "Holy Tits!". Its usage has grown to include adjective usage, as in, "that party was totally tits." The term is used interchangably to exclaim that which is very good or very bad. "Damn, that was totally tits" = "that was very good" or simply, "Tits!" = "that is very unfortunate.

This word had its genesis at Central Methodist College, Fayette, MO. Its usage has already expanded to every reach of the state. Being such a versitile and fun to say word, I fully expect it to become trademark slang of the midwest. (ed: trouble is of course it's in use like that over a large part of the world)