At present, countries such as the PRC, Japan, South Korea and the US already have compulsory licensing systems for professional medical masseurs. In Taiwan, the CFRA and Father Josef are currently working to define a training, assessment, certification and licensing system for reflexologists.
目前中國大陸、日本、韓國、美國已有專業按摩師的證照制度，台灣「足部反射區健康法協會」目前正與吳若石神父積極制定教育、評鑑和相關證照制度。