Fish Pedicure Might Result in Loss of Toes

Victoria Curthoys, a young woman from Australia, has bravely shared her cautionary tale and photos to raise awareness about the potential dangers of “fish spas” or “fish pedicures.” Her harrowing experience serves as a stark reminder of the risks associated with these seemingly trendy and exotic beauty treatments.

Victoria’s story sheds light on the importance of understanding the health implications and ethical concerns surrounding fish pedicures. In Victoria’s case, she initially believed that the fish spa she visited in Thailand was sanitary. She watched as the spa’s owner set up the system, which appeared clean and well-maintained. However, her post-trip health problems would reveal a different reality.

Upon returning to Australia, Victoria started experiencing persistent fevers and unexplained sickness that puzzled doctors. It was a challenging time as her condition remained undiagnosed. Ultimately, medical professionals identified the root cause: osteomyelitis, a bone infection triggered by bacteria present in the tank water of the fish spa. 

Victoria’s ordeal was both physically and emotionally taxing. By the time doctors pinpointed the source of her health issues, her toe bone had already been eroded by the bone disease. Over the course of five years, she tragically lost all the toes on her right foot. Fortunately, Victoria has since regained her health and has chosen to share pictures of her feet to promote body positivity and to educate others about the potential risks associated with fish pedicures. 

Fish pedicures involve the use of live fish, typically Garra rufa, to exfoliate the skin by nibbling away dead skin cells. However, this practice has been met with growing concerns, not only for its health risks but also due to the ethical treatment of the fish involved. 

One crucial aspect of fish pedicures is that fish are living creatures and cannot be sanitized between customers, raising concerns about hygiene and disease transmission. Unlike traditional pedicure tools that are thoroughly sterilized to prevent the spread of bacteria, there is no effective way to sanitize living animals. This inherent limitation poses a significant health risk to individuals seeking fish pedicures. 

Furthermore, the fish used in these treatments do not nibble on dead human skin because it appeals to them; they do it out of desperation. Garra rufa fish are typically starved, and they resort to eating dead skin cells as a means of sustenance. These fish are often shipped in water-filled plastic bags, and many die during transit. Upon arrival at the spas, they are placed in tanks where customers immerse their feet. These tanks become breeding grounds for bacteria, as the fish live and defecate in the same water.

This unsanitary environment creates a high risk of infection for those who participate in fish pedicures. The potential health risks associated with fish pedicures have led to their prohibition in numerous regions. Many U.S. states, as well as Canada and Europe, have implemented bans or strict regulations to protect public health. These bans reflect not only the risk of infections but also ethical concerns regarding the treatment of the fish. 

Unlike human nail technicians who can tailor their services to individual preferences and needs, fish lack the ability to discern which areas require attention. Consequently, customers often experience unsatisfactory results, including uneven exfoliation, bumpy skin, and instances where the fish bite deep enough to cause bleeding. 

Fish pedicures may offer a novel and intriguing way to exfoliate the skin, but they carry significant risks to both human health and the welfare of the fish involved. These treatments are characterized by unsanitary conditions, the risk of infections, and the ethical dilemma of using starved fish for skin exfoliation. 

Ultimately, Victoria’s message is clear: when it comes to beauty and personal care, it is essential to prioritize safety, hygiene, and ethical practices. The allure of trendy treatments should not blind us to the potential consequences for our health and the well-being of other living beings. Choosing safer and more ethical alternatives, such as traditional pedicures with sterilized tools, is a responsible and compassionate choice. 

Journal Reference 

Lipner SR. Onychomadesis Following a Fish Pedicure. JAMA Dermatol. 2018;154(9):1091–1092. doi:10.1001/jamadermatol.2018.1827