In a four-hand massage, two therapists work on a client, often using synchronized movements. A four-hand massage can be like experiencing two full-body massages at the same time.

Good masseurs will use the client's body as a form of canvas on which they will choreograph slow, detailed movements of different paces and pressures.

There are several different styles of four-hand massage. Four-hand massage is generally more expensive than other forms of massage, as two therapists must be compensated for their time and skill.