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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 on.) tatau. In Marquesan, tatu." Ahead of 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 initial 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, each and 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 very first voyage to Tahiti and New Zealand. In his narrative of the voyage, he refers to an operation referred to as "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 areas exactly where they work as "tattoo shops", "tattoo studios" or "tattoo parlors".Mainstream art galleries hold exhibitions of each standard 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.[8] Flash sheets are prominently displayed in several tattoo parlors for the objective of supplying both inspiration and prepared-made tattoo pictures to consumers.

The Japanese word irezumi indicates "insertion of ink" and can mean tattoos using tebori, the standard Japanese hand approach, a Western-style machine or any method of tattooing using insertion of ink. The most frequent word used for traditional Japanese tattoo designs is horimono. Japanese could use the word tattoo to imply non-Japanese designs of tattooing.