No. You are never naked during a massage in the United States.There are variations on practices in different countries around theworld due to cultural differences. In Asian countries you remainfully dressed. In some European countries and South America you maybe disrobed (we never use the words nude or naked) and not coveredwith a sheet. In the US, the law in all 50 states is very strictabout having the gentials and breasts for women covered at alltimes. If you would prefer to leave on one of your undergarments,that is a personal choice and accepted by all therapsits as aboundry. You can even leave all your cloths on it that is they wayyou want to do it.