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The word tattoo, or tattow in the 18th century, is a loanword from the Samoan word tatau, which means "to strike". The Oxford English Dictionary gives the etymology of tattoo as "In 18th c. tattaow, tattow. From Polynesian (Samoan, Tahitian, Tongan, and so forth.) tatau. In Marquesan, tatu." 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 physique modification term is not to be confused with the origins of the word for the military drumbeat or efficiency — see military tattoo. In this case, the English word tattoo is derived from the Dutch word taptoe.The first written reference to the word tattoo (or tatau) appears 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, every 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 called "tattaw".

Tattoo enthusiasts could refer to tattoos as "ink", "pieces", "skin art", "tattoo art", "tats" or "work"; to the creators as "tattoo artists", "tattooers" or "tattooists"; and to places where they perform as "tattoo shops", "tattoo studios" or "tattoo parlors".Mainstream art galleries hold exhibitions of both conventional and custom tattoo designs, such as Beyond Skin, at the Museum of Croydon. Copyrighted tattoo designs that are mass-made and sent to tattoo artists are identified as "flash", a notable instance of industrial design and style.[8] Flash sheets are prominently displayed in many tattoo parlors for the purpose of offering each inspiration and ready-produced tattoo photos to customers.

The Japanese word irezumi signifies "insertion of ink" and can mean tattoos making use of tebori, the conventional Japanese hand approach, a Western-style machine or any strategy of tattooing making use of insertion of ink. The most common word used for traditional Japanese tattoo designs is horimono. Japanese may possibly use the word tattoo to imply non-Japanese styles of tattooing.