Each state has varying requirements for who can perform IPL treatments. In my office, my technicians do the treatments, and together have performed over 150,000 IPL treatments. I promise you that if I took the treatment over and did it, it wouldn't be nearly as good as what they do because they have literally years of doing the treatments every single day for 14 years. However, I am involved in the care of each IPL patient. I see each patient throughout the series and review chart notes and updates after each visit. It is important to have a physician involved in your care, but it's not necessarily important that the physician performs the treatment himself/herself. "This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."