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The word tattoo, or tattow in the 18th century, is a loanword from the Samoan word tatau, meaning "to strike". The Oxford English Dictionary gives the etymology of tattoo as "In 18th c. tattaow, tattow. From Polynesian (Samoan, Tahitian, Tongan, etc.) tatau. In Marquesan, tatu." Just before the importation of the Polynesian word, the practice of tattooing had been described in the West as painting, scarring or staining.The etymology of the body modification term is not to be confused with the origins of the word for the military drumbeat or overall performance — see military tattoo. In this case, the English word tattoo is derived from the Dutch word taptoe.The very first written reference to the word tattoo (or tatau) seems in the journal of Joseph Banks (24 February 1743 – 19 June 1820), the naturalist aboard explorer James Cook's ship HMS Endeavour: "I shall now mention the way they mark themselves indelibly, each of them is so marked by their humour or disposition".[5] The word tattoo was brought to Europe by Cook, when he returned in 1769 from his first voyage to Tahiti and New Zealand. In his narrative of the voyage, he refers to an operation referred to as "tattaw".

Tattoo enthusiasts may possibly refer to tattoos as "ink", "pieces", "skin art", "tattoo art", "tats" or "work"; to the creators as "tattoo artists", "tattooers" or "tattooists"; and to areas where they operate as "tattoo shops", "tattoo studios" or "tattoo parlors".Mainstream art galleries hold exhibitions of each conventional and custom tattoo styles, such as Beyond Skin, at the Museum of Croydon. Copyrighted tattoo designs that are mass-produced and sent to tattoo artists are known as "flash", a notable instance of industrial design.[8] Flash sheets are prominently displayed in several tattoo parlors for the purpose of offering each inspiration and prepared-produced tattoo images to consumers.

The Japanese word irezumi means "insertion of ink" and can mean tattoos making use of tebori, the classic Japanese hand technique, a Western-style machine or any technique of tattooing using insertion of ink. The most widespread word employed for traditional Japanese tattoo designs is horimono. Japanese might use the word tattoo to imply non-Japanese styles of tattooing.