Health tourism and other segments in tourism focussing on health issues are widely considered as a growth market. Drivers for this growth and the related future potentials may derive from framework conditions within the German society. The paper tries to identify trends with respect to health oriented vacation forms within the German holiday travel demand. Based on the annual survey “Reiseanalyse”, empirical data on motivation, preferences and factual behavior are pre-sented. The results do not reveal an upward trend in the past and do not indicate a growth of the segment in the future. Possible underlying reasons for these findings are discussed.