Two therapists work on one client, often using synchronized moves. A four-hands massage can be like experiencing two full body massages at the same time.
When two therapists and four hands hit your body, your mind reacts differently.
At first you might find yourself trying to keep track of the therapists, where each one is and what each one is doing, struggling to keep it all in a very logical order in your head. But very quickly your brain realizes it’s not sure who is doing what, and gives up control.
This is a powerful treatment for anyone who has a hard time letting go during treatments.
It is even more relaxing than a conventional massage: When you get a regular massage, you can readily gauge the location of your therapist’s hands. However, the brain doesn’t find it so easy to keep track of four different hands moving over the body. After a few minutes, your brain will stop trying to make sense of all this information. Instead, you’ll feel fully immersed in the experience. The movements therapists use in four hand massage are usually slow and rhythmic rather than brisk and energizing. This form of massage can be useful for people who find it hard to “let go” during treatment. When you are deeply relaxed, your muscles become more pliable. This means that both therapists can work more effectively to reduce tension in your body. You may even fall asleep during your massage.
It takes just as long as a regular massage: You may have two therapists, but that doesn’t mean the treatment will take half the time. Your therapists may offer treatments lasting 50 minutes, 75 minutes, or even a couple of hours.
It requires a high level of skill: When giving a four hands massage, both therapists have to stay attuned to one another’s movements. They must have the ability to deliver treatment intuitively, without disturbing the client by talking to each other. Their aim is to apply an equal amount of pressure to both sides of the body, which takes practice.

Usually, one therapist acts as the leader, with the other following their movements. However, if they are both highly skilled, you won’t be able to tell who is leading who.