"Spa" is an acronym for salus per aqua, or health through water. There currently are approximately 10,000 spas of all types in the United States. Most now focus on eating and weight programs with subcategories of sports activities and nutrition most prominent. The main reasons stated by clients for their use are stress reduction, specific medical or other health issues, eating and weight loss, rest and relaxation, fitness and exercise, and pampering and beauty. A detailed description of the Canyon Ranch, a spa facility in Tucson, AZ, is presented as a case study in this paper. It appears that the three most critical factors in creating an optimal healing environment in a spa venue are (1) a dedicated caring staff at all levels, (2) a mission driven organization that will not compromise, and (3) a sound business model and leadership that will ensure permanency.