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Medical estheticians and massage therapists are trained above and beyond regular estheticians, provide their clients with the utmost in technology and safety, yet do not receive appreciably higher pay. When you are tipping your esthetician or masseuse, you ARE NOT tipping a physician because you are not receiving a physician's service, for which you would pay a consult fee instead. It is proper etiquette to tip an esthetician or masseuse, whether in a doctor's office, medispa, or regular spa.

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Q: Do you tip for a massage at a medical spa?
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