I am a certified lypossage practitioner, and I can honestly say that it does work. I was trained under the founder of lypossage, Charles Wiltsie III, and he told me that the endymology machine works as well as hands on work; it's the preference of the client as to whether he/she wants hands on work or a machine. Also, you have to look at the training levels of both sides. A lypossage practitioner is well trained, but you don't know what kind of training the one using the machine has. Some are trained well, but it is not guaranteed. Most have no training at all because they don't have to have it.A Lypossage practitioner has good results because we are trained to prequalify people for the service; it is also a very goal oriented service, so the client has to do "homework" for it to be the most effective. I would suggest that you consider training for lypossage; you do make your money back quickly. I hope this helps you.