I think local culture should be accounted for as well. I live and work in a liberal west coast town, where tattoos and piercings are pretty much de rigueur. I work in an exclusive facility with a very affluent clientele (read "Old School"), and I have had only one single complaint regarding my tattoos, and it was barely a complaint. We ended up having an intelligent discussion about culture and counterculture, the history and significance of tattooing, and the evolution of social norms. Other than the usual questions from the curious, I've heard nothing. I may be judged by my appearance at first glance, but it doesn't matter, as my actions and words say more about me than my body art does. I'd pick tattooed competence over a clean-cut doofus anytime, and apparently so do my patients.