The aim of this paper is to compare and assess the position of the spa and wellness sector in the structure of tourism in the Czech Republic. In this context, the article deals with the brief history of the Czech spa tourism and the development of spa tourism in the spa resorts, including the focus of specialized literature review. The methodological part consists of an explanation of the existing statistical information about the spa sector. The main part of the paper deals with the geographic analysis of current spa centres (the capacity of spa and total collective accommodation facilities, the number of spa patients and guests, guest attendance and their geographical structure). The assessment also includes the determination of the importance of the spa for overall spa tourism. Furthermore, the paper also deals with the development and localization of the selected forms of wellness tourism. As a pilot example, aquaparks built especially in the last 20 years in the Czech Republic were chosen.