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It depends on the spa. There are a couple of inexpensive ($20 per hour) Chinese massage places I go to in Flushing, Queens (huge Asian community) and it's posted to keep your underwear on. In addition, when you start to take your clothes off, they tell you - keep your underwear on. But I have been to some spas where they tell you to take your shorts off - so my MO is to strip to boxers if I'm unsure and when the masseuse comes in ask - is this ok, or take off the shorts? This way, there's no confusion.
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