I have seen many horses show improvement with just one massage session. However, each horse is different and depending on the issues at hand, may need several treatments before significant changes are observed. I highly recommend a maintenance regimen of a minimum two sessions per month to maintain the average horse in good condition. For working horses, (example showing, training, school horses, etc.), I recommend weekly sessions to maintain optimum performance and recovery from workouts. For horses with deeper muscular skeletal issues, I determine the frequency based on the needs of the individual horse and owner.