like a lot of people, I didnt think it was possible to remove a tattoo or lighten it. I saw some video, and used google. Went to a med spa type place. Your right and on to something with your business: Those of us that love tattoos are treated like pariahs at a lot of these places that don't care about our overall goals. Nor do they understand/care about tattoos or the industry (imho). So I guess the only thing I looked for, not knowing much about how removal worked, was cleanliness. That, and professionalism. shooting a quarter million dollar laser into my skin? you have to convince me you know what your doing. I think that's why people are attracted to doctors for these things, as when I was exploring my options, being left with horrific scars was my prominent fear. I think, again in my opinion, there is a lot of misinformation and not a lot known about how it works.