Sustainable tourism is a vital concept that takes into account the current and future economic, social, and environmental impacts of tourism. It aims to address the needs of visitors, the industry, the environment, and host communities.

There are several principles of sustainable tourism, such as environmental responsibility, considering optimal use of natural resources, preserving essential ecological processes, and conserving natural heritage and biodiversity. Socio-cultural authenticity means respecting the cultural heritage and traditional values of host communities, promoting inter-cultural understanding, and tolerance. Economic viability is based on ensuring long-term economic benefits for all stakeholders, including stable employment, income opportunities, improvement the quality of services provided in medical and wellness spas and social services for host communities. Continuous monitoring has to provide regular impact assessment and implementation of preventive or corrective measures, serving and assuring the improvement in this field. Transparency for all interested parties, informing and involvement of relevant stakeholders and strong political leadership to build consensus.

Sustainable tourism supports biodiversity conservation while benefiting host countries and communities.

Development of spa tourism with an emphasis on planning and improving the quality of services could be the opportunity for medical tourism. Provision of training services in the field of quality in spa and medical tourism according to ISO 17679, ISO 21426 and ISO 22525 standards as well as all other standards for which the need is assessed, in order to provide service considered as valuable for this kind of specific tourists with refined needs.

Addressing climate-related threats is crucial, because tourism is both vulnerable to climate change and contributes to it. The tourism industry must tackle plastic pollution across the entire value chain, initiating responsible behavior is essential, in order to minimize environmental impact, respect local cultures, and support local economies. Tourists play a pivotal role in sustainable tourism.

Sustainable tourism is a continuous journey that requires collaboration, awareness, and conscious choices. During exploring the world, we have to think about preserving it for generations to come. Educational advocacy is crucial, to raise awareness about sustainability issues and promote eco-friendly practices.