Outside of the clinic it can still be a difficult question to answer because I want to be careful not to sound preachy. While leaving a tip for a treatment that you enjoyed seems like a simple thing, tipping your Registered Massage Therapist is actually a bit complicated. As a Regulated Health Professional it is my duty to treat all patients equally. While you may feel that you are simply thanking me for a job well done, tipping can create an environment where I may begin to give preferential treatment to patients that reward me financially. While I feel that I can confidently say I would never knowingly treat someone differently, I acknowledge that this subconscious shift may occur and so I prefer to avoid it all together.
Tipping also blurs the line between Massage as health care and Massage as a service. RMTs have struggled to be taken seriously by other health professionals and tipping further confuses our role in the health care system, especially when we remain the only Regulated Health Professionals receiving tips.
All RMTs are free to adopt whatever tipping policy makes them comfortable. For the above reasons, my policy remains not to accept tips at all. If you were happy with your treatment, the best tip is a referral, so spread the word!