Based on the results of analyze the Thai national medical tourism product’s positioning on Russia market to offer the principal guidelines for development the marketing strategy of Thai medical services at Russia markets. The article is based on the data of a Russian 2020 survey, at the same time, it tracks the dynamic trend of consumer preferences since 2017. Identified key principles of health tourism commercialization in Thailand under the conditions when this tourism sector needs to be reformatted due to post-Covid conditions, assessed the efficiency of Thai medical tourism promotion on Russian-speaking markets. Recommendations for the modernization of Thailand health tourism product in terms of its constituent services, marketing, infrastructure and investment support, pricing, promotion, taking into account current trends in the global and Russian tourism markets are given.