Few other countries in the world who have so little area and ample so many thermal springs. Termomineral sources are heterogeneous composition of the water. Republic of Macedonia is characterized by numerous natural treasures that can be inserted to the tourists. In this scholarly work is processed and presented all possibilities and perspectives for development of thermal (spa) Tourism existing spas in the country: Bansko, Debar baths, Katlanovska bathroom Kezhovica Bath, Bath Kocani, Kumanovo bath, Bath Strnovac in Old Nagoricane Negorska and Bath. They are: the mountains, river valleys, attractive lakes, springs and other thermomineral springs. This is a vast natural wealth so allows, primarily the development of spa and health tourism.