Hardly anyone asks this out loud, and almost everyone arrives with it half-answered. It is worth settling in advance, because the guessing happens in the two minutes when you are alone in the room with the door shut, and that is the worst moment to be improvising.

In short

For an oil massage you undress to the level you are comfortable with, usually down to underwear or without it, and lie under a towel or sheet. The practitioner leaves the room while you get on the table. Only the area being worked on is uncovered, and it is covered again before they move on. Thai-influenced work is often done clothed instead.

Do you have to take your clothes off for a massage?

For any treatment worked with oil, you undress. How far is your decision. Most people keep their underwear on. Some take everything off, on the reasoning that the sheet covers them either way and there is one less edge to work around. Both are completely ordinary and neither will be remarked on.

The reason clothes come off at all is practical rather than ceremonial. The long gliding strokes of a Swedish massage depend on continuous contact with skin. A sleeve or a strap breaks the stroke into pieces, and the pieces are what the session is built from. That is the whole of it.

You are never undressed in front of anyone. The practitioner explains what to take off, tells you which way to lie, then leaves the room and closes the door. You undress, get onto the table, and pull the sheet over yourself. They knock before returning.

How does massage draping work?

Draping is the word for the sheet or towel system that keeps you covered. It follows one rule, and once you know the rule the whole thing stops being mysterious: only the part being worked on is uncovered, and it is covered again before the practitioner moves on.

So when your back is being worked, the sheet is folded down to your waist and everything below stays covered. When it is time for a leg, that leg is uncovered and tucked, and the other stays under the sheet. Chest and the area between hip and thigh remain covered throughout. When you turn over, the practitioner holds the sheet up like a screen and looks away while you roll beneath it.

Nothing about this requires you to manage it. You lie still, and the covering moves around you.

What should you wear to the spa?

Think about the two minutes at each end rather than the hour in between. You want clothes that come off easily and go back on without thought, in a warm room, with oil still on your skin and your attention somewhere pleasantly far away.

  • Loose layers over anything tight or structured. A dress with a difficult zip is a small ordeal at both ends.
  • Shoes you can step out of without sitting down.
  • Hair tied back or something to tie it with, so it is out of the way once you are face down.
  • Minimal jewellery, since rings, watches and necklaces all have to come off. Leaving them at home beats finding somewhere to put them.
  • Something soft to leave in afterwards, because oil on skin and a stiff collar are not a good pairing.

There is usually somewhere in the room to hang or fold what you take off, and your things stay with you rather than going anywhere else.

When do you stay dressed for a massage?

Traditional Thai work is done fully clothed, with no oil involved at all. It is built from pressure and from being moved through stretches, and clothes make that easier rather than harder, because the practitioner needs to hold a limb without slipping.

A Thai combination massage sits between the two worlds, which is exactly why people ask about it. It keeps the stretching and pressure work and adds oil massage, so part of the session needs skin and part does not. Sessions handle this with draping in the usual way, covering you for the stretches and uncovering one area at a time for the oil work. If you would like to know precisely how yours will run, ask when you book. The surface matters here too, since clothed stretching often happens on a mat rather than a table, which the choice between mat and table covers in full.

For any clothed session, wear what you would wear to a yoga class. Soft, stretchy, nothing that digs in at the waist. Denim is the one thing that genuinely does not work.

What about a couple massage?

The rules do not change because there are two of you in the room. During a couple massage each guest is draped separately and independently, and each of you is uncovered only where you are being worked on. Two practitioners work in parallel and neither is paying attention to the other table.

You will usually be left alone together to undress and get onto your tables, which removes the awkward part entirely. If you are bringing someone who is nervous about the coverage question, tell them this bit in advance rather than letting them discover it at the door.

The five minutes before you get on the table

  1. You are shown to the roomThe practitioner tells you what to take off, which way to lie down, and where to put your things. That instruction is the only part of the clothing question you have to act on.
  2. They leave the roomYou undress to the level you are comfortable with, in private, with the door closed. Clothes go on the hook or the chair provided.
  3. You get on the tableUnder the sheet, not on top of it, lying the way you were asked. If you are face down, settle your face into the padded cradle and let your arms rest wherever is comfortable.
  4. They knock and come back inFrom here you do not need to do anything else. Adjusting the covering is their job for the rest of the hour.

That sequence is the same almost everywhere, which is why it stops feeling like a test after one visit. What happens once you are on the table belongs to massage etiquette, and the shape of the hour as a whole is covered in what to expect at your first massage.


What do you wear for each treatment?

The answer changes with the treatment rather than with the spa, and it comes down to one thing: whether the work needs skin or needs clothes.

Clothed work needs something to hold on to. Oil work needs an unbroken run of skin.
TreatmentWorked on skin or through clothesWhat that means for you
Swedish massageOil on skinUndress to your comfort, lie under the sheet, one area uncovered at a time
Deep tissue massageOil on skinThe same, and loose clothes afterwards are worth thinking about
Thai combination massagePart clothed, part oilBring soft clothes you can stretch in, and ask when you book how the two halves are arranged
Couple massageOil on skinBoth of you draped separately, and usually left alone together to get onto the tables
4 hands massageOil on skinTwo practitioners, one set of draping, handled the same way as a single-therapist session

If the clothing question is what has been holding you back, say it when you book rather than on the table. It takes one sentence to resolve, and a practitioner would far rather plan around it than have you spend an hour half elsewhere.

When you know how you would like it to go, you can choose a treatment and mention your preferences then.

Your comfort sets the terms. Everything else in the room is arranged around it.

Treatments in this pieceThai Combination MassageSwedish MassageCouple Massage

Common questions

Do you keep your underwear on for a massage?

Most people do, and it is a perfectly ordinary choice. Others prefer to take everything off because the sheet covers them either way and there is one less edge for the practitioner to work around. Both are normal, and nobody will comment on which you picked.

Will the practitioner see me undressed?

No. They step out of the room while you get onto the table and under the sheet, and they knock before coming back in. From that point the sheet moves one area at a time. You are covered for the whole session apart from the part being worked on.

What do I wear for a Thai massage?

Soft clothes you can stretch in, similar to what you would wear to a yoga class. Traditional Thai work is done fully clothed and involves being moved through ranges of motion, so stiff denim and anything with a waistband that digs in will get in the way. A combination session mixes clothed and oil work, so ask when you book how that one is arranged.

Can I stay fully dressed for an oil massage if I want to?

You can, but it limits what is possible, because oil strokes need contact with skin. If undressing is the part you are unsure about, say so when you book rather than deciding on the table. A practitioner can plan a session around a back and shoulders only, or suggest a clothed treatment instead.

What if I have a scar, a skin condition or something I would rather not have touched?

Mention it before you get on the table and the area will simply be left alone. You do not need to explain why. If you have a medical condition, a recent injury or you are pregnant, speak to your doctor first, because your practitioner is not giving medical advice.

Published 2026-09-25Choose a treatment