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The main objective of this postgraduate thesis is to investigate the structure, operation and especially the organization and management of hotel spas in 5-star Greek hotels. Being a sector with an increasing demand, spas are becoming more and more common in luxury accommodation facilities, due to the growing global interest in wellness tourism and is gradually being transformed from a sub-sector hotel department into an integral part of the hospitality industry. The literature review has shown a great lack of knowledge regarding the spa department of hotels so far, as there is little research in this area. The first part of the research aims at drawing conclusions about the characteristics of spa managers, facilities and services as well as the essential administrative responsibilities. In addition, through literature review, it can be concluded that hotels tend to frequently outsource management of spa departments. Because of this, the research aimed mainly to compare the characteristics of managers and management, staff as well as, services and facilities with respect to the different management status of the spa departments. A quantitative approach was chosen to conduct the research and was carried out through the form of questionnaires. Spa managers working in 5-star hotels throughout Greece participated in the questionnaire. The results showed a particularly high level of education and training of managers and staff, a vital role of the spa managers, the existence of small-scale spa facilities in the hotels, and the fact that the services provided coincide with those reported in the literature. Regarding different management regimes, hotels appear to be more stringent in their staffing, giving them a greater degree of authorization, while external management companies choose staff which is capable of working in different environments.