Massage by Design is a San Diego massage therapy practice in University Heights, WBENC-certified as women-owned, founded by Koko Klipper at 4452 Park Blvd, Suite 212, after she graduated from the Arizona School of Massage Therapy in 2005. The 92116 studio specializes in manual lymphatic drainage for post-surgical recovery—including liposuction, BBL, and cosmetic-procedure clients—alongside deep tissue therapy for musculoskeletal pain and soft-tissue injury. Therapists are trained in more than 15 modalities, and each session draws from a menu that includes trigger point therapy, active release technique, cupping, TuiNa (Chinese medical protocol), prenatal massage, TMJD therapy, sports massage, myofascial release, and carpal tunnel-specific work—a clinical breadth that complements the Thai compression-and-stretch technique at BaiBoon Thai Massage on Adams Avenue. The couples massage program runs side-by-side stations, a format that distinguishes the studio from single-room operations in University Heights. All massage sessions accept FSA and HSA cards, positioning the practice within the medical-reimbursement pathway for clients whose physicians prescribe massage therapy. Park Blvd runs directly south into Balboa Park, and the building that houses the studio sits in the University Heights commercial node between Adams Avenue and El Cajon Blvd. Post-surgical lymphatic clients who need ongoing physical rehabilitation layer their drainage sessions with the manual therapy programs at Mark A. Shulman, PT on the same Park Blvd corridor, keeping both providers on a coordinated recovery timeline. Before founding the San Diego studio, Klipper built a nationwide corporate chair-massage operation serving events and wellness programs across more than 190 cities, and the local practice channels that logistical depth into individualized clinical sessions.