At a medical spa, a doctor - often a dermatologist or plastic surgeon - serves as the spa director.

"We do about two dozen a week," said Patricia Schneider, the spa director, of the 80-minute treatment, which costs $225.

"The mud baths are pretty hot now, the salt herbal treatment is very popular too," said Dana Bass Smith, the cheerful spa director.

Today, "we get it from France," said the spa director, Suzanne Lieder.

Those that are motormouths usually don't make the cut, said Brenna Dubs, Haven's spa director.

As early as 1807 Christoph von Willich had resigned from the post of spa director.

The spa director, Carol Upper, told me during an orientation session, "Other spas may be more luxurious, but we're known for our personnel."

"You would think that you were giving them money, guests get so excited," said the spa director, Tony Fountain.

But yes, of course I'll have a free consultation with Cora, the spa director.

Osa Mallo, the Mandarin Oriental's spa director, said that was typical.