The paper discusses options for tourist development of the Altai-Sayan region. For this purpose, a comparison is made between the current state of tourism and sustainable development of tourism. This makes it possible to propose five stages for the strategy of sustainable tourism development in the Altai-Sayan mountain region. The preservation of biodiversity and ethnic characteristics of the territory underlie the ethnoecological type of tourism, being the most consistent with the principles of sustainable development and promising in the studied mountain region. Functional zoning is considered as an important method for balancing and optimizing environmental management. It is proposed to use the landscape-adaptive principle as a basis for spatial planning of tourist service in the mountainous region. The spatial elements of the tourist network of the mountain region were analyzed. This made it possible to reveal the predominance of the linear structure in connection with the mountain-valley relief. There are also examples of radiation, dispersion, focal and linear-perpendicular structures of tourist networks. This allowed highlighting the priorities of tourist development for different territories. Functional zoning of the Altai-Sayan region with the identification of priorities in the development of the territory was proposed. This allowed identifying the spatial distribution of areas of intensive tourist use and areas of nature preservation and ecotourism. In addition, zones of weak economic development were identified with a predominance of tourist routes, as well as those of medium economic development with local tourist centers.

Health tourism is a specific type of tourism with great prospects. Most people do not have time for long trips, but there is a great need for a change of scenery and restoration of strength. There are many examples when in the regions in order to improve health and relaxation, nearby areas are being developed. It is most promising to create programs for such tourism near existing resorts that have the necessary infrastructure and medical facilities, while individual client requests must be taken into account. It is proposed to research health tourism as a territorial tourist complex, which includes not only specialized infrastructure but also territories adjacent to resorts. It is noted that low-mountain areas have the most suitable spaces for tourism development. By the example of the Belokurikha resort, the goals of visiting and tourist satisfaction are identified, as well as the possibilities of developing health tourism. A model for designing individual programs for health tourism is proposed.

The article examines the problem of spatial tourism planning. The authors note that the possibility of tourist activities in different territorial zones requires functional zoning. The study justifies the use of a territorial tourist complex concept. The authors propose using the model of functional and planning complexes as a basis for understanding the structure of the territorial tourist complex, as well in the spatial development of tourism. Spatial planning of tourism implements various approaches. However, the main problem of the territorial tourist complexes’ development arises because tourist activity can be carried out in the territories of various purposes. Multi-functional zones are important for tourism as this determines their specialization and tourist flows. The study of territorial tourist complexes is related to the problem of using this concept in the practice of spatial development. Therefore, an urgent task is to develop a model that characterizes the structure of the tourist complex, which will enable moving on to an understanding of tourism development planning.