The Indian spa industry, valued at INR 6.1 billion in 2008, is projected to grow at a rate of 60% annually until 2012, driven by factors including medical tourism and a large consumer base. Major markets include Kerala, North India, and Maharashtra, with opportunities for affiliated industries in products, equipment, and services. However, challenges such as a lack of trained personnel and standards hinder growth, while foreign players and real estate companies are increasingly entering the market.