INTRODUCTION Due to the growth of the aesthetic medical procedures popularity over the past several years, such procedures are increasingly being performed in non-clinical environments such as offices in shopping malls, beauty salons or day spas. The Canadian Association of Medical Spas and Aesthetic Surgeons recognizes that combining cosmetics with medical procedures may be acceptable for enhancing the business and provide additional level of handiness and expediency to patients. However, a regulatory structure is desirable to ensure proper medical practice and clientele protection. As a general standard for health care professional that perform the procedures, the proposed regulations presented here reviews the guidelines developed, recognized and employed by worldwide health care professional organizations. The Canadian Association of Medical Spas and Aesthetic Surgeons also provided assistance to normalize the regulations according to the Canadian Standards. Medical Spas Classification Based on the types of procedures performed in medical spas, they are classified as Echelon I, Echelon II or Echelon III. Echelon I Spas Echelon I spas include those facilities in which only superficial procedures are performed. The procedures affect only the uppermost layer of skin with no invasive method. It is recommended that all personnel be certified in Basic Cardiac Life Support recognized by the Canadian Heart and Stroke Foundation. The Basic Life Support for Healthcare Providers addresses core material such as adult and pediatric CPR, foreign-body airway obstruction, and automated external defibrillator (AED) use, stroke, cardiac arrest, and special resuscitation situations. Echelon II Spas Echelon II include those medical Spas in which procedures with a higher risk of unfavorable consequences are performed, including Botox and dermal fillers injections and use of lasers. However, the risk of hospitalization due to these procedures is unlikely. Echelon II spas must maintain basic emergency equipment and procedures. All personnel must be certified in Basic Cardiac Lifer Support and at least one health care professional who has completed a course in Advanced Cardiac Life Support must be present in the clinic at all times. The purpose of ACLS is to prepare health care providers to initiate advanced resuscitative efforts in response to cardiovascular emergencies experienced by adults. At the end of the ACLS program the successful learner will have demonstrated both the required knowledge and skills to manage cardio-respiratory emergencies using the systematic ACLS approach. Echelon III Spas Level III spas include those facilities in which procedures may have complications of a serious nature and may permanently alter the skin or underlying tissue, remove tissue and/or involve injection or use of devices and products that require specific and level of professional training. A licensed physician must be on the premises and available to respond at all times. All personnel must be certified in Basic Cardiac Lifer Support and at least one health care professional who has completed a course in Advanced Cardiac Life Support must be present in the clinic at all times. Patients' Statement of Rights Medical Spa staff should recognize the basic rights of patients and value patients' rights. A patients' rights document should be available upon request. Patient’s Statements of Rights Principal 1. High quality health care delivered in a safe and efficient manner. 2. Treatment in accordance with accepted standards of courtesy. 3. Respect of Privacy and confidentiality. 4. Information on diagnosis, treatment options, and prognosis. 5. The risks, benefits, and possible complications of each treatment or procedure. 6. Information on the qualifications of those who will be performing the procedures. 7. The right to refuse treatment and advice on the consequences of this decision. 8. Inspection and obtaining a copy of medical records and the billing. 9. Requesting information regarding alternative appropriate care. 10. Knowing the expectations of manners and the consequences of not complying with these expectations