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Crucially, the modernization of massage therapy has necessitated the establishment of strict professional boundaries. The distinction between therapeutic touch and intimate or sexual touch is a cornerstone of the industry. Professional bodies and licensing boards enforce codes of ethics that ensure a safe, respectful environment for clients. This professionalization has been essential in integrating massage into mainstream healthcare; it allows patients to seek treatment without fear of exploitation, trusting that their therapist is a trained medical professional adhering to a strict code of conduct.