The question of whether to tip your massage therapist seems to be a never-ending dilemma. The answer is actually quite simple: it depends on the type of service you are receiving. In a spa setting, tipping is typically expected. In a medical or insurance-based setting, tipping is usually not necessary. If you’re ever unsure, don’t hesitate to ask whether gratuity is customary for that business. If you feel your service was exceptional, a tip may be appropriate.