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This was the first time I have ever had a fish pedicure and I can't fault it - it's fun,innovative and definitely worth a try. I wouldn't say that this is a place to feel pampered if that is what you're after, though - it's more of a 'fish tank' kind of place, as it's literally just a number of tanks to put your feet in and wooden seats to sit on. It's also a 'fish tank' kind of place for another reason: its location in Camden Lock means that you may well get a number of tourists etc peeping in (there's no door as such) and even coming up to you to ask what it's like, so you feel a bit like you're on display.
The staff consisted of just one woman who was friendly enough and did check you in properly (she gives you a towel to wipe your feet both before and after dipping in), although as this is not a spa place by any means she isn't like a therapist and so is more like an 'invigilator'.
As for the treatment itself, it's ticklish, yes, although not unbearably so. It's quite nice! It's like light vibrations where the fish are. As for smooth feet afterwards, though, I didn't really notice a difference. However, the woman there did say it depends on the individual....
So, in summary, worth a try if you don't mind feeling a little like you're on display in a low-key sort of place. It's fun, although don't expect miracles.