Tipping at the medical spa is creates quite a bit of confusion. "I just had my third glycolic peel and it just occurred to me…should I be tipping?" asked one visitor to the site, Dara. She had not because "it's a very short appointment and very expensive." Another person was getting laser treatments and wondered about tipping the esthetician who would be performing the procedures. There is no hard and fast rule here. Many medical spas don't allow tipping because it interferes with their "medical" image. Others allow it, especially if they offer traditional treatments like facials, massage, even waxing. I would tip 15-20% for traditional treatments and glycolics if they are part of an overall facial. If it's a "quickie" like a glycolic peel and is done by an esthetician I would probably offer a $10. For a more lengthy laser treatment by an esthetician, I would offer $20. But for a doctor or physician's assistant doing Botox injections, I would feel strange tipping. How about you? Do you tip at the medical spa?