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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 offers the etymology of tattoo as "In 18th c. tattaow, tattow. From Polynesian (Samoan, Tahitian, Tongan, and so on.) 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 efficiency — 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) 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 single 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 known as "tattaw".

Tattoo enthusiasts might 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 both standard and custom tattoo designs, such as Beyond Skin, at the Museum of Croydon. Copyrighted tattoo designs that are mass-created and sent to tattoo artists are identified as "flash", a notable instance of industrial design.[8] Flash sheets are prominently displayed in numerous tattoo parlors for the purpose of supplying each inspiration and ready-made tattoo pictures to clients.

The Japanese word irezumi implies "insertion of ink" and can mean tattoos using tebori, the traditional Japanese hand approach, a Western-style machine or any strategy of tattooing utilizing insertion of ink. The most common word employed for traditional Japanese tattoo styles is horimono. Japanese might use the word tattoo to imply non-Japanese types of tattooing.