It's up to you. Women usually remove their bras to allow the massage therapist to work on the back and shoulder area without getting massage oil or lotion on the bra. If your problem area is your low back, hips, buttocks, or groin, tight-fitting or large underwear can sometimes get in the way of massage work.

Because spa salons offer many types of treatments, including massages, “spa” is a broader term than “massage.” Typically, spas offer massages for relaxation purposes but they also other pampering services like facials, manicures, and pedicures.

The Goal of the Massages With medical treatment, the intention is to improve a specific ailment or condition. However, in a spa setting, there is no clear end goal in mind. Often times, the reason for a spa treatment is more general. The therapist seeks to relax and destress the patient, rather than to heal them.