As a Licensed Massage Therapist/Instructor/CEU Provider in TX, I require a Client InTake form and if there is a recent surgery indicated (usually less than 9 months and depending on the surgery) then doctor's release after surgery is required for two reasons:
#1 If a surgery is listed, I want to know--What type of surgery? How long ago? (If 9 months or less, I defnitely require a doctor's release as I do not wish to hurt or cause any further damage to the client.) I would also like to discuss the surgery with the doctor to see what their aspect is on massage post-surgery in order to work in that area.) My son had a kidney transplant a year ago and where the "new" kidney is positioned (right superior inguinal border of the anterior hip) deep tissue massage is definitely contraindicated.
Also you must remember that post-surgery, you could still have DVT or other vascular issues depending on the type of surgery for several months if not years, and if there were any complications post-surgery, you need to be aware of them. Should a blood clot break loose and travel through the body, it could cause a stroke or heart attack. It is better safe than sorry for both the client and the therapist involved. Are they still on blood-thinners, anti-seizure meds, etc. that were prescribed post-surgery? If you are on blood thinners, warfarin, coumadin, etc. it increases your chances for bleeding, bruising and vascular damage as a result of too deep of a pressure, etc.
#2 Also, should any massage therapist perform a massage post-surgery without a doctors release and create an "issue" for you, the client, our insurance company may not cover the claim. Remember that we are a lawsuit happy nation and it is best to CYA-"cover your assets" in any case.
Hope this helps with your question! Best wishes--
Be Blessed!