• By Cathy Wong, ND Alternative Medicine Expert 1) Am I supposed to tip? If you get a massage at a spa or hotel, a 15% to 20% tip is standard if you were pleased with the services. On the other hand, there are no real ground rules or norms when it comes to massage in a medical setting. Some massage therapists and massage associations I asked said tipping isn't appropriate in a medical or clinical setting. Others said that it is always appreciated. If you're not sure, don't be afraid to ask if tipping is customary. You can call ahead to ask if you don't want to do it face to face. If tipping isn't the norm, you can always [...]