I would handle the same situation in the same way. If you were confronted with the same situation again, how might you handle things differently? Response from Anonymous (Working on an obese person requires extra finesse and energy, to say the least.) If she were to question the higher rate, I would tell her that my rates are based on advanced training and skills I draw upon for individual cases. I originally charged this lady the lower rate, but realized this was not sensible, particularly since I often apply kinesio tape and/or used advanced techniques.

This client originally saw a coworker of mine in an office we shared, and then she quit doing massage therapy.

I have two hourly rates reflecting complexity and demands of the treatments, with one being $10 higher than the other. Any massage therapist knows how layers of adipose tissue make accurate assessment and treatment difficult. A regular female client of mine is a very nice lady, but she is, in a word, obese.