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A pursuit of healthy life is one of the main stream in modern society. Many destinations are trying to utilize health elements to promote the destination’s image. But, generally, there are gaps between projected image and perceived image. The purpose of this paper is to identify the perceived image of health tourism and the image difference by Korean and Japanese students. The historical relationship of tourism and health, the concept of health tourism, the image were explored through literature review. All of the 379 students(Korean 190, Japanese 189) were surveyed and analysed to examine two hypotheses. Simple frequent analysis, chi-square test, factor analysis and t-test were employed as analytic methods. As a result, image difference between two countries students were found.