A Pedicure by Fish is an oddity. It consists of soaking the feet in a container of small fish who literally ‘eat’ the dead skin.
Fish pedicures, often referred to as ichthyotherapy, involve placing your feet in a shallow tub filled with warm water and small fish, typically Garra rufa (a.k.a. “doctor fish”). These fish gently nibble away dead skin, leaving the feet feeling smoother. Unlike regular pedicures that use scrubs, pumice stones, or razors, fish pedicures rely on the natural feeding behavior of the fish. Garra rufa lack teeth, so they don’t bite or tear the skin—they just slough off the topmost dead cells by suctioning and gently scraping.
The process is often described as ticklish at first but quickly becomes soothing and even meditative for many. A session usually lasts 15 to 30 minutes, and afterward, many users report that their feet feel soft and rejuvenated. The sensation is part exfoliation, part spa treatment. The appeal is both tactile and novel—there’s definitely a “weird but cool” vibe to it that attracts tourists and curious first-timers. Some spas pair the treatment with massages or traditional pedicures for a more complete pampering experience.
However, there are concerns around hygiene and safety. Since fish can’t be sterilized between customers and the water is reused, there’s a risk of spreading infections or diseases, especially in places with lax sanitation standards. People with open cuts, compromised immune systems, or foot conditions like athlete’s foot should avoid fish pedicures altogether. In fact, several regions—including parts of the U.S., Canada, and the EU—have banned the practice for these reasons. The fish themselves can also suffer if not properly cared for; overcrowding and poor tank maintenance are not uncommon in lower-quality spas.
Despite the controversy, fish pedicures still hold a niche place in the spa world. They’re more popular in tourist-heavy destinations in Asia and the Middle East, where the novelty draws in curious visitors. If you’re considering trying one, look for a well-reviewed, reputable spa that follows proper cleaning protocols and treats the fish humanely. It’s definitely not for everyone, but for those intrigued by unconventional spa treatments, fish pedicures offer a unique—albeit slightly squirmy—experience.
Most Useful Resources:
Fish Pedicure (PodiaPaedia)
The Pedicure by Fish! (Foot Health Friday)
Live fish used to give pedicure (Podiatry Arena)
Fish Pedicure (Foot Health Forum)
What is a fish pedicure? (PodiatryFAQ)
Is a fish pedicure safe? (PodiatryFAQ)