Thai massage: what to know before you go

Tell the therapist before you start if you're pregnant, have had recent surgery, a fracture or sprain that hasn't fully healed, a skin infection or open wound, a history of blood clots or deep vein thrombosis, or a fever — any of these means the massage should be skipped or heavily modified, not pushed through. Thai massage involves real stretching and firm, sustained pressure that can feel intense or uncomfortable; that's normal. Sharp, sudden, or shooting pain is not — say something immediately and ask for lighter pressure, it's a completely normal request and a good therapist will adjust without hesitation. You're also free to decline any add-on service you didn't ask for and didn't agree to pay for; if someone keeps pushing after you've said no, get up and leave. Eat light beforehand rather than right after a big meal — lying face-down on a full stomach is unpleasant. You can ask to skip specific areas, like your face or feet, if you're ticklish or self-conscious. Hygiene at Bangkok's licensed spas is generally solid, but if you're unsure, it's completely fine to ask whether linens are changed between clients. Small street-level shops still often prefer cash, though cards are increasingly accepted almost everywhere else. For what to actually pay and how tipping works, see our guide to understanding massage pricing in Bangkok.