Unlike traditional lomilomi kupuna (elder) recognized by the Hawaiian community who require students to study with them for years, some massage schools around the world purport to train therapists in lomilomi in a few hours and some massage therapists may incorporate techniques from other massage modalities during the session. While often pleasant, this style of massage which is now a common and popular massage modality throughout the world, especially in Hawaii, Japan, Europe and Australia, is very different from authentic lomilomi.