I don't because the woman I go to owns her own buisness- and it's just her. She doesn't take tips. I actually spoke to her about it a few months ago. She said that 'if a person who is doing it is getting paid directly, they should not ever expect a tip'...IF, on the other hand they work for a buisness or a spa and they don't get paid directly, they should get a tip, because out of that $150 you pay, they don't see that money- they only get paid per hour OR per massage...and it's not $150 per hour, that is for sure!