piss
Synonym discussion
Sense: verb/1
For this sense, the key difference is register. 'Piss' is strongly rude and usually appears when speakers are angry, rough, drunk, or joking with close friends. 'Pee' names the same body action but sounds much milder, so adults often use it with children or in relaxed family talk. 'Urinate' is the formal or medical choice, which is why doctors, nurses, and written instructions prefer it. 'Go to the toilet' is the polite everyday phrase when you do not want to mention the body process directly. In class, at work, or with strangers, 'I need to go to the toilet' is normal; 'I need to piss' can sound offensive.
Etymology
English took this word into Middle English from Old French 'pisser'. That French verb probably goes back to an imitative base, so it likely began as a sound-based word. Both the noun and the verb have been in English since the 1300s. Over time the word stayed common in speech, but it came to sound rough and offensive, so modern learners usually meet it in slang, jokes, or angry talk rather than polite conversation.