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Who may operate a cosmetic laser in Texas?

Oversight · part of The Practice Perimeter

A Texas physician may delegate a medical act — including cosmetic injections, dermal fillers, and cosmetic laser use — to a qualified, properly trained person acting under the physician’s supervision, where a reasonable and prudent physician would find it consistent with sound medical judgment. The delegating physician remains responsible for the delegated act.

Tex. Occ. Code §157.001 · verified Jul 26, 2026 · regulatory monitoring, not legal advice

The rest of what Texas says on this

Every other rule we have verified under physician supervision & delegation, each linked to its primary source.

  • The Texas Medical Board classifies nonsurgical medical cosmetic procedures — including the injection of medications or substances for cosmetic purposes and the use of a prescription medical device for cosmetic purposes — as the practice of medicine that may be properly delegated and supervised.

    22 TAC §169.25 · verified Jul 26, 2026

  • The delegating physician must review, approve, or develop a written order for the delegated procedure that identifies the physician, sets patient-screening criteria, describes appropriate care, and provides procedures for handling common complications.

    22 TAC §169.27 · verified Jul 26, 2026

  • Laser hair removal is separately licensed in Texas and sits OUTSIDE the medical-delegation route above. No person may perform or attempt to perform laser hair removal — the use of a laser or pulsed light device for nonablative hair removal — unless they hold the appropriate certificate from the Texas Department of Licensing and Regulation. That certificate authorizes nonablative cosmetic laser hair removal ONLY: it does not authorize the holder to diagnose, treat, or offer to treat any illness, disease, injury, defect or deformity, and the holder must disclose that limitation in writing to every client and prospective client.

    Tex. Health & Safety Code §401.504 · verified Aug 17, 2026

  • The certificate is tiered. A laser hair removal technician certificate is the base rung; a senior laser hair removal technician must meet the technician requirements and have supervised at least 100 laser hair removal procedures, audited by a certified laser hair removal professional; and a certified laser hair removal professional must meet the senior technician requirements, hold certification from a department-recognized certifying agency, and pass a department examination. A certified professional performs laser hair removal under a protocol established with a consulting physician.

    Tex. Health & Safety Code §401.505, §401.506 · verified Aug 17, 2026

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← All Texas rules and changes · Med Spa Radar is regulatory monitoring and reference, not legal, medical, or compliance advice. Verify against the linked primary source and consult qualified counsel before acting — rules change and turn on your specific facts. Legislative data via LegiScan (CC BY 4.0).