I have not had much luck in getting the readers of this forum to post why they tip when they tip, and what it means to them when they do.
I never saw this topic before, and i think it’s an excellent idea to talk about this.
Being new to this country, I had NO IDEA that you were supposed to tip most people here. I must have offended so many hair washing girls, masseuses, and who knows who else that expected a tip. I would have tipped had I known it was acceptable to do so, but it’s embarrassing to tip sometimes, so I actually prefer not to.
When I know that a tip is the norm like with waitresses, I don’t feel embarrassed tipping, but when I am not sure that it is and how much to give, I HATE to have to do it b/c it makes me feel as if I’m pretending to be superior to that person and handing them pittance… I don’t know, I just feel that way.
A whole 8 years after my arrival here I though that I new who to tip. But when I dated a body piercing guy for a few weeks I learned that I had been wrong. He told me that every service profession in the US can and perhaps should be tipped. I was shocked and embarrassed b/c I realized how many people I had send the wrong message to. I was very surprised to learn that people tip him for piercings… i would absolutely never thought to do that.
Anyway… as for my electrolysist, I would never try to tip him with cash b/c I would most definitely feel idiotic trying to hand him money. I really think that he is excellent and his skill and dedication to the profession as awe inspiring. So I feel moved by his contribution to my life and really want to not only tell him that but do nice little things for him.
I may not end up giving him a present per-se but I am going to take care a few things for him. I am planning on redesigning his office forms and putting them on a CD so that he can print fresh copies when he needs them. Currently he uses a horrific blackened form that he must have been re-copying for decades. Nothing on that form is legible. I also plan on making a simple web site for him b/c he is not out in the public eye at all (not that he can even handle more patients as it is, but you know… just to keep up with the times)
Things like that. I probably would buy him something too towards the end of our sessions. I’ll see what info I can get out of him. So far I’ve only had 3 hours with him and I know everything about his family, so it won’t be hard to figure out what to buy 
I am not sure that I answered your questions James, but let me know if I didn’t.