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Wellness and medical tourism are expanding sectors in which Ayurveda, and Panchakarma in particular, occupy a prominent place, especially in India. The Global Wellness Institute estimates that the wellness economy is very large and growing, and traditional medicine is widely used worldwide. Panchakarma tourism combines clinical treatment, relaxation and cultural experience, and raises questions about regulation, quality, safety, ethics and sustainability. This article reviews the landscape of health and wellness tourism, the regulatory framework for Ayurvedic practice and products in India, quality and accreditation concerns, risks to consumers, and future directions including integration with research, digital tools and global standards. Credible growth requires qualified practitioners, evidence-informed claims, transparent communication and robust safety systems.