Geothermal energy, which is an abundant resource in the Earth's crust, has emerged as an important and clean alternative source of energy for electrical power generation and direct use (Muffler, 1981). Hot waters from thermal springs and shallow wells have been used extensively since prehistoric times for bathing, washing and cooking. For the last 50 years many countries have also used low enthalpy geothermal water (20°-150°C) for agriculture, aquaculture, space heating, fruit drying, paper manufacturing and other applications (Fridleifsson, 1998). Electrical power generation using geothermal steam started at Larderello, Italy in 1912 (Ellis and Mahon, 1977), and currently a total of over 8000 MW of electricity are generated from geothermal systems in 22 countries, with the USA, Philippines, Italy, Mexico, Indonesia, Japan and New Zealand being the main producers (Duffield et al., 1994; Wright, 1998). The σ2H, σ18O and tritium values of water, especially when integrated with the concentrations and isotopes of solutes and gases are powerful geochemical tools for determining the origin, nature, distribution and interactions of fluids in geothermal systems. The stable isotopes of water are especially useful because the relations governing their distribution in present-day surface and shallow groundwaters of an area (the local meteoric water) as well as their modifications in aquifers and geothermal systems are reasonably well known. The isotopes of meteoric water may be modified by evaporation and mixing in shallow aquifers and by mixing, boiling, and isotopic exchange with minerals in geothermal systems. For review articles and many references, see Truesdell and Hulston, 1980; Fournier, 1989; D'Amore, 1992; Kharaka and Thordsen, 1992, and Giggenbach, 1983. In this summary review, we will discuss the major historical developments in the application of water isotopes and other geochemical tools to the study of geothermal systems. We will cover briefly the major advances in the last 25 years, including determination of isotopic and chemical compositions of solutes and noble gases, application of vapour-phase tracers, and improved geochemical modelling of chemical reactions in reservoir processes. These advances, as well as exploration in deep portions of known geothermal systems have led to a better understanding of vapour-dominated systems, associated ore deposits, the influence of magmatic heat sources, the origins of highly corrosive fluids, scaling and corrosion. These advances have helped to optimize injection strategies for improved production and helped to decrease waste disposal costs. Finally, we will discuss an integrated approach, using water isotopes and other geochemical and hydrologic parameters to investigate the recharge to the hydrothermal system at Yellowstone National Park, USA, the largest geothermal system in the world.