Skip to content
How to Guide Clients on Tax Deductions for Wigs
by James Todd, CEO, Dimples | The Link Magazine, Issue 57

When can a wig be tax deductible?

According to IRS Publication 502 (Medical and Dental Expenses), a wig may qualify as a medical expense if it is purchased upon a physician's advice for the mental health of a patient who has lost hair due to disease. Here are the essential requirements:

1. Medical Necessity
The wig must be prescribed by a licensed healthcare provider to treat a medical condition that causes hair loss. This includes:
  • chemotherapy or radiation treatment
  • alopecia areata or other autoimmune hair loss conditions 
  • medical conditions resulting in permanent or temporary hair loss
  • NOTE: wigs purchased purely for cosmetic preference do not qualify

2. Proper Documentation
Clients should retain:
  • a written prescription or letter of medical necessity from their physician 
  • receipts and invoices for the wig purchase 
  • any relevant medical documentation connected to hair loss treatment 
  • clear documentation is important if the deduction is ever questioned

3. Itemizing on Schedule A
To deduct the expense: 
  • clients must itemize deductions using Schedule A (Form 1040)
  • total medical  expenses must exceed 7.5% of adjusted gross income (AGI) to qualify
  • if medical expenses do not surpass that threshold, the wig cost cannot be deducted