England, outside London
Where the council has adopted the rules
Council registration
A business doing tattooing, semi-permanent skin-colouring, cosmetic piercing or electrolysis must register itself and its premises with the council. Acupuncture has its own registration. These rules only apply where the council has resolved to adopt them, and a council can adopt different parts. Doctors, and people working under a doctor's supervision, are exempt; for acupuncture, so are dentists.
London
Where the borough has adopted the rules
Special treatment licence
Premises used for special treatment need a licence from the borough. Special treatment includes massage, manicure, acupuncture, tattooing, cosmetic piercing, chiropody, and light, electric or other special treatment. Exemptions cover registered doctors, dentists for acupuncture, and members of a professional body that has given the borough written notice that it keeps a register, requires qualifications and experience, requires indemnity insurance, has a code of conduct and has disciplinary procedures. Licence conditions can include the qualifications of the people giving treatment.
Wales
Since 29 November 2024
Personal licence and approved premises
Anyone performing acupuncture, body piercing, electrolysis or tattooing (including semi-permanent make-up) as a business needs a special procedure licence, and the premises or vehicle must be approved by the council. Members of the statutory healthcare professions, such as doctors, nurses, dentists and pharmacists, are treated as exempt from the personal licence unless regulations say otherwise.
Scotland, now
Civic Government (Scotland) Act 1982
Council licence
Businesses providing skin piercing or tattooing need a council licence. Skin piercing includes acupuncture, cosmetic body piercing and electrolysis, and tattooing includes micropigmentation. Regulated healthcare professionals don't need this licence.
Scotland, from 6 September 2027
Licensing of Non-surgical Procedures Order 2026
Wider licence starts
A licence will also be needed for a list of skin treatments. Examples include superficial chemical peels, microneedling below 1.5 mm excluding radiofrequency microneedling, non-ablative laser and IPL, HIFU, radiofrequency treatments not delivered through microneedles, cryolipolysis and electrocautery. NHS treatment, treatment of an illness by a healthcare provider, procedures using a prescription anaesthetic, most intimate-area procedures, tattooing and piercing, and procedures in excepted premises (such as registered clinics run by prescribers, GP and dental premises, and registered pharmacies) are outside it. Someone who applies before 6 September 2027 isn't guilty of the unlicensed-activity offence while the application, and any appeal, is undecided.
Northern Ireland
Where the council has adopted the rules
Council registration
A business doing tattooing, semi-permanent skin-colouring, cosmetic piercing or electrolysis must register itself and its premises with the council. Acupuncture has its own registration. These rules only apply where the council has resolved to adopt them. Doctors, and people working under a doctor's supervision, are exempt.