• There is a need to increase awareness in the youth today regarding increased risks of tattooing when carried out in potential unsterile environments. • Tattoo parlors should also be educated about the risks involved and the importance of using proper infection control procedures. • Better regulation of tattoo inks and dyes can help ensure safe application and ease of removal, but it is currently lacking. • Lasers are the established gold standard for tattoo removal, but employing the appropriate device and technique does not always guarantee a successful outcome. QS lasers are created technologies against blue, black, red, and green tattoos, with varying degrees of effectiveness. Other colors can be challenging to treat, although outcomes using fractional resurfacing and picosecond lasers are promising. Multi-pass treatments are a new approach for faster and more effective removal of tattoo pigments. • The mechanisms responsible for variable responses of cosmetic tattoos to laser treatment are numerous and often interrelated. • The laser industry and the tattoo practitioner are on different poles