Illicit massage businesses (IMBs), more commonly known as “erotic massage parlors,” often act as fronts for human trafficking across the US. It’s estimated that there are 10,000 IMBs in the US and 300 in Ohio. In this report, we provide an overview of IMBs with a focus on Ohio. Ohio is unique in the US in that massage therapy is licensed and regulated by the state medical board, but non-medical, non-therapeutic, or “relaxation” massage operates with nearly zero oversight or regulation. This loophole in the law has contributed to the spread of IMBs that exploit primarily foreign workers for commercial sex and forced labor. We present the scope and scale of the issue, discuss intersectional causes and impacts, and provide a detailed examination of both state and municipal policies. The report concludes with an outline for taking action for community activists and a set of detailed policy recommendations for municipalities to reduce the amount of sex and labor exploitation and the number of IMBs in the