School principals have been widely neglected in school health promotion. Due to
societal changes and important school reforms, the job requirements of this occupational group have also dramatically changed. Against this background, available research results on principals’ health are presented. Moreover, two additional perspectives on the role of school principals in school health promotion are discussed in more detail in this chapter. While one perspective deals with the question as to whether and how principals affect teachers’ health, the other illuminates the infl uence of principals on the implementation and overall success of health promoting activities in the school. The chapter closes with a discussion of the fi ndings and recommendations for future research and practice.