Several states have banned the use of Dr. Fish as a pedicure therapy in the United States. Many believe this is an unfair reactionary step and stems from the adherence to strict pedicure guidelines that all utensils used in a treatment have to be sterilized by heat afterward. Of course sterilization of the fish would result in death.
The Goldwater institute of Arizona has taken a case on behalf of a local Dr. Fish practitioner against the State cosmetology board to reverse the banning. The following is an article from Yumasun on the topic, If foot nibblers aren’t a health risk let them be and another article from Nails magazine Dr. Fish Bits Back.