I wear a tshirt and shorts, cause oil on my skin isn't what I want. I need a little fabric between me and the masseur. However, you should give the therapist feedback, reminding them you need a lighter touch. I ask them if they work on seniors. Also, if you have issues with organs, ie, kidney stress due to meds, ask them to put some attention on your kidneys. There are pressure point systems (meridians) related to organs. I ask them to help with my lungs, kidneys and heart. Sometimes they will suggest an area. A good therapist knows a lot about the body. My cardiologist gets massage too. Smart guy.