Medspa owners know the struggle: “Do you tip for Botox?” “Is tipping expected for high-end treatments?” These questions pop up all the time, and they point to a bigger issue — tipping at a medspa isn’t always clear.  

Medspas combine the luxury of a day spa with the precision of medical treatments, leaving clients unsure of what’s expected. Unlike salons where tipping is a given or doctor’s offices where it’s not, medspas sit in a tipping gray zone.  

So, how do you strike the balance between guiding clients and making sure your staff feels valued?

This article breaks down the nuanced world of medspa tipping. You’ll find practical tips to educate your clients, implement thoughtful policies, and create a smooth experience for everyone.  

Why clear tipping policies matter at medspas

Medspas combine the best of both worlds — medical and aesthetic treatments — but that can leave clients wondering: should I tip? For services like facials or microneedling, tipping feels natural, but what about Botox or laser hair removal?

Clear tipping policies can take the guesswork out of the equation. Do you have a strict no tipping policy? Do you only allow tips for aesthetic services? Or perhaps gratuity is already built into your service prices?

Whatever your policy, when clients know what’s expected, they feel at ease, and your staff feels appreciated — a win-win for everyone.

Key differences between day spa and medspa tipping

The distinction between day spas and medspas is subtle yet significant, especially when it comes to tipping. At a day spa, gratuities are customary for services like massages, facials, and pedicures, as these are considered luxury services. In contrast, medspas offer medical treatments like Botox and laser therapies, merging medical and aesthetic services. This blending of services complicates tipping norms.

Medspas may employ doctors and licensed medical professionals, creating a different dynamic.

In typical medical settings, tipping is not customary, as you wouldn't tip your doctor after a medical consultation. However, the spa-like atmosphere of medspas can lead clients to assume tips are expected. Therefore, understanding the nature of the service and who is providing it can guide your tipping decisions.  

Should your medspa allow tipping? Understanding industry norms

Unlike traditional day spas, medspas operate under medical oversight, which means tipping expectations vary. Here’s a simple breakdown:

Tipping is generally appropriate for:

  • Estheticians performing facials, chemical peels, and skin treatments
  • Massage therapists providing body treatments
  • Lash and brow specialists

Tipping is discouraged for:

  • Medical professionals (NPs, PAs, RNs, MDs) administering injectables, laser treatments, microneedling, or PRP therapy
  • Owners or managing medical directors

Many medspas adopt "no-tipping" policies for medical services to reinforce a clinical, professional environment. However, if your business allows tipping for certain services, be sure to communicate this clearly to clients at checkout, in appointment confirmations, and through your front desk team.

Medspas that earn the most revenue – the top 10% of the industry – receive just 6% of transaction amounts in tips, reflecting industry norms where salaried medical professionals typically don’t rely on gratuities.
Source: 2025 Beauty and Wellness Benchmark Report

Do you tip for Botox at a medspa? Clarifying client expectations

Clients frequently ask if they should tip for Botox at medspas as they try to understand where Botox falls on the etiquette spectrum. Since Botox is a medical procedure often administered by trained professionals such as nurses, tipping isn’t typically expected.

However, medspa owners can provide guidance by creating a clear policy specific to their business. For instance, you might state that tipping is optional for medical treatments but welcome for aesthetic services.

Do you tip for laser hair removal? Educate with clear policies

Laser hair removal, another medical-grade service, is another area where clients may hesitate about gratuities. Unlike facials or massages, tipping here isn’t as common since medical equipment and specialized skills are involved.

A good approach for medspa owners is to share these guidelines in FAQ sections, email confirmations, or even on-site signs. Think about addressing common questions like, “Should I tip for laser facial treatments?” or “Do you tip an esthetician at a medspa?”

Where tipping is expected at medspas

For aesthetic treatments like facials or massages, a tip is generally expected, as these fall under the category of spa services. A 15-20% tip is standard, similar to what you would leave at a day spa. However, medical procedures like Botox or laser treatments (more on this below) may not require tipping, as they are performed by healthcare professionals.  

This distinction helps ensure your estheticians feel appreciated while clarifying that medical staff don’t rely on gratuities as part of their earnings.

How to communicate your tipping policies

1. Include tipping information in appointment reminders

Remind clients about your tipping policies ahead of their visit. For example, add a note in appointment confirmations saying, “Gratuities are encouraged for aesthetic services like facials but are not expected for medical procedures like Botox.”

2. Simplify policies with FAQ pages

Address common questions such as:

  • Do you tip for lip filler?
  • Do you tip your botox injector?
  • Do you tip an esthetician at a dermatologist office?

Provide straightforward, detailed answers that help clients follow your medspa’s etiquette without confusion.

3. Empower front desk staff

Ensure your team is comfortable discussing tipping when asked. For instance, if a client wonders, “Do you tip for microneedling?” they can politely clarify whether tips are encouraged for that service based on your established policy.

Streamlining the tipping process

1. Integrated POS for easy tipping

Using software that enables clients to add tips digitally during checkout simplifies the process. This is particularly effective for services where tipping is customary, such as facials.

2. Encouraging non-monetary gestures

If your business reduces or eliminates tipping, promote alternatives like positive reviews or referrals. For instance, after a Botox appointment, invite clients to share their experience online instead of leaving a traditional tip.

3. Building trust with clients and staff

By creating clear distinctions between aesthetic and medical services, medspa owners foster better relationships with both clients and employees. Implement loyalty programs or bonuses for staff so that their hard work is consistently rewarded, with or without gratuities.

How to tip at a medspa: Tipping etiquette for different medspa services

Tipping etiquette is an important consideration for medspa owners and professionals, as it directly impacts client experience and staff satisfaction.  

For services like facials and massages, tipping norms are similar to day spas, where gratuities of 15-20% of the service cost are common. These tips contribute significantly to the income of estheticians and massage therapists, so it’s essential to set clear expectations for clients.  

The question “do you tip at a medspa?” becomes more nuanced when dealing with medical procedures, such as Botox injections, dermal fillers, or laser hair removal. These treatments are typically performed by salaried medical professionals, including nurses or physician assistants, where tipping is less common and often declined.  

For high-cost services performed by non-medical technicians, such as advanced skin treatments, tipping can vary. A 15-20% tip on a $1,000 service may feel excessive to some clients, leading many to opt for a flat amount, often between $20 and $40. Communicating this flexibility can help clients feel comfortable while ensuring your staff is rewarded for their work.  

For instances where both medical and aesthetic services are combined in a single appointment, such as when a client receives both Botox and a facial, the tipping etiquette can become even more complex. In most cases, it is appropriate to tip for the aesthetic portion of the visit, in line with standard practices for those types of services.

Medspa Service Tipping Chart: What to Expect

Bill Amount ($) 15% Tip 18% Tip 20% Tip
$100 $15.00 $18.00 $20.00
$250 $37.50 $45.00 $50.00
$400 $60.00 $72.00 $80.00
$550 $82.50 $99.00 $110.00
$700 $105.00 $126.00 $140.00
$850 $127.50 $153.00 $170.00
$1000 $150.00 $180.00 $200.00

To maintain clarity and professionalism, train your front desk team to guide clients in a friendly and consistent manner, based on your established tipping policy.

By addressing tipping policies proactively, you can enhance the client experience while supporting your team’s efforts.

When not to tip at a medspa

  • Medical treatments by licensed professionals
    No tipping is expected for services performed by doctors, dermatologists, or registered nurses since these are medical procedures.
  • Medspa with a no-tipping policy  
    If the establishment has a clearly stated no-tipping policy, gratuities are not necessary.
  • Service charges included in pricing
    Some medspas incorporate service fees into their pricing to ensure fair staff compensation, eliminating the need for tipping.

Recap: 3 easy steps for transparent medspa tipping policies

  1. Distinguish services: Tipping may be appropriate for aesthetic treatments like microneedling but less so for medical procedures like Botox.
  1. Define expectations: Decide on policies that suit your medspa and comply with state laws. Do you want clients tipping estheticians and not medical staff? Or do you prefer an all-inclusive pricing model?
  1. Communicate early: Use signage, email confirmations, and staff discussions to let clients know your tipping preference upfront.

Conclusion

Addressing client questions such as, “Do you tip for Botox?” is easier when medspas establish clear expectations. Educating clients about items like tipping for Botox or laser hair removal reduces confusion, promotes professionalism, and ensures everyone leaves happy.

Make tipping another stress-free part of your medspa experience by implementing transparent policies that benefit both clients and staff while ensuring compliance. The key to a successful tipping policy? Build a supportive environment where clients feel confident in their appreciation and your team feels valued for their work.  

Looking for tools to streamline operations further? Discover software that integrates seamless tipping, appointments, and feedback all in one place.

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Gita Mani
Senior Content Specialist
Gita Mani
Senior Content Specialist

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