There are also "high pressure" tanning beds that generate primarily UVA with some UVB by using highly specialized quartz lamps, reflector systems and filters. These are much more expensive, thus less commonly used. A tanning booth is quite similar to a tanning bed, but the individual stands while tanning and the typical power output of booths is higher.

Because of the adverse effects on human health of overexposure to UV radiation, including skin cancer, cataracts, suppression of the immune system, and premature skin aging, the World Health Organization does not recommend the use of UV tanning devices for cosmetic reasons. In fact, most tanning beds emit mainly UVA rays — which may increase the risk of melanoma, the deadliest form of skin cancer. Using a sunbed without goggles may also lead to a condition known as arc eye.

Although tanning beds were initially brought to America by Friedrich Wolff in 1978[citation needed], he soon patented his particular blend of phosphors (since expired) and began licensing the technology to other companies. Wolff Systems has since devoted all their resources into lamp technology and development. Some of the early adopters of the Wolff technology include ETS, Inc., SCA, Sun Industries, Inc., Montego Bay, Sunal. Later, Friedrich sold Wolff Systems to his brother Jorg Wolff, who was the founder of Cosmedico, Ltd., another pioneer in the tanning industry.

Initially, tanning beds were virtually unregulated in the US, but in 1988 (and later updated in 1999) the primary source of regulation at the federal level was 21 CFR 1040.20. This law was designed primarily to ensure that all tanning beds sold or used in salons adhered to a general set of safety rules, with the primary focus on tanning bed and lamp manufacturers in regards to maximum exposure times and product equivalence. It is left up to each individual state to determine the regulations for salons themselves, and as such, many states are still not regulated beyond these basic federal rules.

Several companies continue to license the Wolff name and use their lamps because of the name recognition, although this has steadily diminished over the years as other lamp builders have created lamps that are arguably as good as or better. Licensing is not required to use Wolff lamps, but it is required to call a tanning bed a "Wolff System" and use the Wolff System logo, a yellow circle with horizontal bars and the name "Wolff Systems" in black. Tanning beds that use Wolff products but do not pay royalties can use only the term "Powered by Wolff," which is unique in the industry.

Most modern tanning beds have not changed much from the original systems. The lamp technology and electronics have evolved over the years, but the basic "low pressure" tanning bed has not evolved. The original electronics used in the first tanning beds, both "European choke" and magnetic, are still in use today although there are now many other choices including electronic and high frequency. The lamps are still fluorescent type, using special phosphors that create a spectrum in the UVA and UVB range although there has been a great deal of advancement over the years to make the light spectrum they emit more "sun-like".[citation needed]

The first original tanning lamps were discovered by accident in 1903 by a German company called Heraeus who were developing lighting systems for the home and for industrial usage. These lamps were of the high-pressure metal halide variety. They discovered that the light that was developed for visible light purposes also emitted ultra-violet light. In the 1920s and 1930s Heraeus first started to market and sell single lamp, self standing tanning/wellness devices. The first high-pressure tanning beds incorporating more than a single high-pressure lamp were manufactured in the mid to late seventies by companies such as Ultrabronz and JK Ergoline and in the 1980s the first high-pressure units were exported to the United States.

These units require special filter glass to remove the UVC and the majority of the UVB that is emitted and are difficult to manufacture because the alignment of the lamps is more critical than in traditional low-pressure tanning beds. They are generally large units, with a padded area to lie on or an acrylic and 6 to 36 lamps in a canopy or canopy and bench configuration, the tanning effect is much deeper and requires only a maintenance exposure of about 2-3 times per month compared to every 48 hours for regular tanning beds. They are much more expensive to operate, thus more expensive for the user. Retail prices in the $20,000 to $35,000 range are common with individual sessions costing $20 to $45, depending on the market.[citation needed]

A growing trend is the home tanning bed. Many people[citation needed] are now opting to own their own tanning system instead of going to the salon. The primary reasons are sanitation concerns and convenience. The average home system has 16 to 24 lamps, and costs $2000 to $3000, making its price competitive (over a number of years) for tanners who frequent salons regularly. This has led to an explosion of retailers that feature smaller, home style tanning beds both on the internet and in traditional retail stores.

Another trend is spray on tanning (a form of sunless tanning), using either special booths or a hand held setup similar to an airbrush. Many people who try spray on tanning often still go to the tanning salon, and use the spray on as a way to jump start the appearance of a tan, while others use it as a way to look tan while avoiding UV exposure of any kind. This is also demonstrated by the large number of indoor tanning lotions that have "bronzers" included, which is similar to the chemicals used for spray on tans, DHA.