How to open a med spa in Hawaii

8 licenses, permits and registrations, in the order to get them, each with the agency, the fee and the official page.

8 licenses, permits and registrations, in the order to get them

Every row checked against its agency’s page; the latest on Oct 21, 2026.

Step 1 of 5Set up the business. Now: Articles of organization (LLC) and the annual report

0 of 8 items done. Each step opens when the one before it is complete. Progress stays on this device. Members keep a dated, noted plan for each saved location in the workspace.

  1. Set up the business0 of 3

    • File online through Hawaii Business Express. The articles name a registered agent with a Hawaii street address. Two years without an annual report and the Division administratively terminates the LLC.

      Fee
      Members
      Renewal
      Members
      Official page
      Members

      Checked Oct 21, 2026

  2. Register for taxOpens after step 1

  3. Approve the spaceOpens after step 2

  4. Get the permits for your kind of businessOpens after step 3

  5. Before the first hireOpens after step 4

How they fare in Hawaii

Closed in 2023, health care and social assistance
7.9%
Opened in 2023
6.8%

Is a med spa profitable in Hawaii?

Then pick the place

  • The free location checkWho lives and works around an address, the med spas already there and the traffic on its road, from public records.
  • The full reportWhether the rules allow a med spa at that address, the rent it supports, what has opened and closed nearby, and the questions to settle before signing.

Have an address in mind?

Check the address free

No account. The med spa check reads public records at the address itself.

Sources and dates

Business Registration Division domestic LLC page and fee schedule; annual report filing pages (HRS chapter 428); Business Registration Division form T-1 (application for registration of trade name, revised November 2025); HRS chapter 482; IRS EIN page; Department of Taxation general excise tax pages and licensing information; Basic Business Application (BB-1); Department of Taxation licensing information; county permitting pages; Honolulu Department of Planning and Permitting pages; county land use ordinances and building codes; HRS chapter 453 (medicine) and chapter 457 (nursing); HAR chapter 16-85; Hawaii Medical Board position on lasers and intense pulsed light; Board of Barbering and Cosmetology scope guidance; Unemployment Insurance Division 2026 contribution rate table; Disability Compensation Division 2026 maximum weekly wage base notice; HRS chapters 386, 392, 393 and 576D; U.S. Census Bureau Business Dynamics Statistics. Fees are as published by each agency on the date checked; cities add their own.

Questions about opening here.