Dry needling is not merely a technique but a medical therapy and a form of acupuncture practice. It is a form of over-simplified acupuncture, an invasive procedure, and is not in the practice scope of physical therapists (PTs). Dry needling has been “developed” simply by rebranding acupuncture and promoted by acupuncturists, medical doctors, and researchers, and it was not initiated by PTs.  In order to promote “Dry needling theory” and business, some commercial dry needling educators have recruited a large number of non-acupuncturists, including in PTs, as students and customers in recent years. The national organizations of PT profession, such as APTA and FSBPT, started to support the practice of dry needling by PTs around 2010. Currently, there are probably more PTs involved in dry needling practice and teaching than any other specialties. A typical dry needling course run only 20-30 hours, and the participants may receive “dry needling certificate” without any examination, while acupuncture professionals have rigorous and extensive training -around 3,000 hours school education. There is no comparable requirements and regulations for PTs to study needling therapy and perform dry needling in the U.S. For patients' safety and professional integrity, all dry needling practitioners and educators should have met the minimal standards required for licensed acupuncturists or physicians.