I know for a big procedure like a full face laser resurfacing when people often have to save a long time for, where the surgeon's office even offers financing for us, I wouldn't worry about tipping because it's a medical procedure. Very rarely that insurance would pay for these cases. But, how about smaller/lesser procedures such as micro-needling? I got quoted $795 for a micro-needling+PRP treatment where i live. Are we expected to tip 15 - 20% on these services? Am I supposed to fork over another $120 - $160 for tip? I don't want to appear cheap, but I feel a bit resentful that these tip jars are everywhere in this country (recently we were taking an airport shuttle where there were 4 huge "Tips appreciated" signs on the four walls of the van. Even if we have tiny little overnight bags, we felt obligated to tip the guy even if my husband was handling the bags. I feel that the businesses/establishments should pay their technicians/workers with fair wages so they don't expect customers to supplement their pay. My daughter lived and worked in Europe for a few years. She said that there's no tipping for services, even personal services such as at a massage parlor (or at restaurants). If the price list says 80 euro for a massage, that's what you pay - simple and no stress. There are places that charge btwn $200 - $300/skinpen session alone. If i'm expected to tip, is $20 - $30 an ok tip? It's hard to ignore the tip envelope placed next to where you're supposed to put down your purse. By definition, a tip is optional, but it's not really optional here in the USA, is it? Please share your thoughts and/experience. Did you all tip your micro-needling technicians every time? thank you!