The future of geothermal energy utilisation in Latvia could be most successful if the old sedimentary water could be used for balneological purposes. The temperature of the geothermal water in tourist regions mostly is not exceeding 40oC. Notwithstanding balneological indicators of the water are on a high level, comparing with thermal waters in the famous resorts of the world. Further prospects to build several spas and health resorts appear to be very promising in Latvia. The geothermal waters are of varied chemical composition, there are ample resources of uncontaminated water and clean air as well as magnificient scenery. Further there is access to medical mud as aid in balneotherapy treatment. The local food supplies are also very fresh and free for contamination and the health care system is of high quality. More research is needed as well as enforced market survey and enforcement of the service needed for the varying market targets. This report addresses, in outline, the potential for balneological purposes of geothermal water in Latvia in the recreation and health industry.