if you only want your back and neck done then that's all she will do.. You can keep your clothes on but they usually keep the parts they are not working on covered with a sheet. she will take you into the room, tell you to undress, then lay on the table face down and cover yourself with the sheet, she will leave the room while you do this. she will then come in and begin your massage. If it's to hard or soft dont' be afraid to tell her. In the end they will give you water and tell you to drink lots of water through out the day to clean out the toxins that the massage released.