The original book that it's based on, The Hellbound Heart, was suggestive of a female Pinhead, and the comic books also explored the idea. There's also plenty of fan art, wonderful works that all theorized the possibility of Pinhead as a woman. So it only felt appropriate to us.

Hellraiser's New Pinhead Was The Reboot's Best Feature\n\n In Hellraiser, women seem to be at the heart of sexual temptation and the all-consuming quest for extreme sensation. Characterizing both hero and villain as female adds even more dimension to these themes.