Sister Sally is the random man in a group who's duty is to wear the skirt and be the dumpster for the day. Generally approached from behind, the skirt is pulled over the bussy's head to hide his ugliness.
Story's vary over the origin of the name Sally, from pirate days taking turns in the barrel to desperate sister who would do anything for attention.
A form of grotesque communication easily identifiable by a few key features: 1) involves a discussion between siblings, which usually includes at least one sister, 2) lacks any modicum of decorum, shame or refinement, and is particularly blunt or crass, and 3) typically includes discussions about sex.
Brother: Hey sis, my anus is leaking green mucus.
Sister: Could it be moldy cum?
Brother: Nope. I douched last night. Thanks for sister-chatting, but my hole bruns real bad.
Sister: Here's 10 bucks, go to the free clinic and get a scrip.