Horticultural therapy is a nationally united association in Korea and has been growing amazingly over the past 10 years. Recently in Korea, however, horticultural therapy has been faced with new social changes and challenges as the interests and needs of horticultural therapy have increased. This study was therefore conducted to gain understand of the actual conditions of horticultural therapists and to consider how to promote their status to ensure continued growth in the specialization of horticultural therapy. The Korean Horticultural Therapy and Well-being Association (KHTA) grant four kinds of) 5)licenses: expert horticultural therapist, 1st level horticultural therapist, 2nd level horticultural therapist, and horticultural therapist for the promotion of well-being. Licensure for horticultural therapy is issued according to the professional registration process of KHTA and is achieved after completing the long life education center courses at one of the 16 universities who operate under the same curriculum and system supervised by KHTA. An internship, assigned a certain value per hour, and monthly training programs and workshops accredited by KHTA must be fulfilled. Monthly training programs and workshops that run 4-6 hours each relate to multidisciplinary content such as horticultural science, medical science, rehabilitation, welfare, counseling, and the environment, among other topics. Now, horticultural therapists in Korea are rendering their services at more than 400 places throughout the country including schools, hospitals, arboretums, botanical gardens, welfare institutes, and private institutes. Horticultural therapists serve infants, children, young people, the elderly, the disabled, and anyone who desires to increase their quality of life mentally, physically, and socially. As of February 2007, KHTA had more than 2,302 members and 514 people were granted licenses including 57 1st level horticultural therapists, 457 2nd level horticultural therapists, and 1 Horticultural Therapist for the promotion of well-being. In this study, a frequency analysis and χ2-test was conducted after a mail-in survey of horticultural therapists with first and second grade licenses as of 2005. Summarily, the low quality of education is the biggest problem that horticultural therapists identified as well as the increase in number of practitioners. Improvement at all levels of the educational program should be considered as satisfaction with the life-long education center courses, recurrent training programs and workshops was rather low. The institutional alternative plan to promote the status of horticultural therapists was found to be the second consideration. Through a comparison of the opinions of the 1st and 2nd level horticultural therapists, it was found that there was little difference in their view. Currently, over 80% of members have a strong sense of duty concerning their activities as a therapist however, payment levels must be improved because the current payment is not appropriate compared to the quality of the work. To successfully resolve these issues, international cooperation and discussion to further develop horticultural therapy must be needed as other countries are also experience a similar situation. Firstly, horticultural therapists must try to increase their status through continued professional efforts to improve their capabilities. KHTA must also do its best in a various ways to make opportunities for united action and provide the developmental efforts needed to accomplish the necessary changes.