We assessed the stress relief effect of spa bathing by measuring sensitive salivary stress markers, cortisol and chromogranin A (CgA). From 12 healthy males, saliva samples were collected immediately before and after spa bathing, and 30 min after that. Salivary cortisol and CgA levels were determined by ELISA. Salivary cortisol levels decreased after spa bathing. This tendency was more pronounced in individuals with higher levels of stress. The high-stress group showed lower salivary CgA levels after spa bathing, while the low-stress group higher salivary CgA levels in the same condition. These findings suggest that the spa bathing has a moderate affect on the stress relief.Subjectively, spa bathing seems to relieve stress. Bathers usually experience a sense of well-being and relaxation during spa bathing. The stress-relieving effects of spa bathing, however, have not yet been scientifically established and are still anecdotal. Many studies on the physiological effects of sauna bathing have been conducted. Reports show that the secretion of anterior pituitary hormones, growth hormone and prolactin, increases during sauna bathing (5,(8)(9)(10)(11). Effects on the sympathetic-adrenomedullary system have also been established. While noradrenaline concentrations increase after sauna bathing (3,5,6,8,9), adrenaline levels change less consistently (8, 9). Meanwhile, results showing the effects of sauna bathing on the pituitary-adrenocortical axis (secretion of ACTH and cortisol) have also been inconsistent (4,5,8,9,11