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If you have questions regarding a particular situation and we can advise you on a proper tuning schedule. As a reference, when working for Berklee College of music in Boston with over 200 pianos, the pianos would get tuned a minimum of once a month (most were tuned more often). These pianos were played 8-10 hours per day as practice pianos. WHAT CAUSES MY PIANO TO GO OUT OF TUNE? Changes in humidity, piano strings stretching, moving. There are many factors, but keeping your piano in a constant, controlled environment is the most important.