Until recently it has been difficult to insert unicode characters above 0xFFFF into MS SQL Server. DBD::ODBC could do it in such a way that you can select them back correctly but the built in functions (like length, sorting and upper/lower etc) did not treat the surrogate pairs as such so it was limited.
Microsoft SQL Server 2012 introduces a new collation suffix (_SC) and it supports surrogate pairs (although there is an indication that the UTF-16 encoded data must be sent little endian and I've not managed to test on a big endian machine as yet). Here is some test code:
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