Honestly, you can only be speaking for yourself. I'm too tall to fit on most beds. My body is too crippled, too. Can no longer lie on my stomach without a proper headrest. Way too painful. When I was younger, I didn't care much. Now, for a bed massage, I question when the bed sheets were last changed. I question the stale smell of the pillows. I question the dog, cat, and pubic hair flying up my nose. I question what went on in this bed just before my appointment. Many guys are just in HE massages for the money. They really don't care about the details like clean laundry. When I was younger, I didn't care about these things either. Now I care about everything concerning other people's germs affecting my health.