Every state has it's own regulations on who is legally permitted to perform laser treatments, such as the PicoSure for tattoo removal. In California where I practice for example, mid-level practitioners such as PAs and RNs are allowed to administer these services. The most important thing to look for when choosing a provider for your laser services is extensive training in both the procedure and the laser device they are utilizing. For example, I would rather visit a PA with extensive training who performs these services regularly than visit a physician who has little training and has not performed many tattoo removal treatments. I hope this helps!