While each and every massage is different, the client has the ultimate say in their level of comfort during the massage. The entire intent of massage therapy is for the client to be 100% comfortable and able to relax, and focus, for the entirety of the massage. Some clients prefer to be fully nude, others decide to keep some articles of clothing on. Sometimes choosing to wear clothing can interfere with the level of access to muscles that the therapist has, but it truly is up to the therapist and the client, to decide what would be most ideal and effective for each massage session.