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Numerous spas and beauty centers in Spain continue to carry out fish therapy. So far, if the correct hygiene procedures are followed, the risk of infection is very low . The best, as recommended by health agencies, is to change the water after each client. The problem is that it is not possible to continually sterilize the container since there are about 200 fish inside  .

This practice has been banned in more than 10 states in the United States.

But, there is not only in the pedicure with fish risks for the client. In addition to possible infections, this practice involves a moral ethical debate about fish and their care. Occasionally, some centers starve fish to make them more effective in eating patients’ dead cells. Due to its risks, this practice has already been prohibited in many places, such as more than 10 states in the United States