I know to tip my hair stylist, and I always tip in restaurants. (unless the service is absolutely terrible!) But these places make it clear that tipping is expected - there is often even a function on the debit machine to tip. My question is, am I supposed to tip my massage therapist? When I had a spa day a few years ago it was clear that tipping was encouraged. However, now I go for montly massages to a registered massage therapist, but these are NOT relaxing spa massages - these are painful! Not in a bad way, but these massages actually work my muscles and get rid of tension and knots. Do you tip for something that feels much like a medical procedure? It is covered by my health care. Tipping has not been suggested or encouraged in any way at the place I go. I just hope I'm not dropping the ball!