The Caribbean is a great holiday destination, along with Europe, Asia and South America. But it is one of the regions that depend more economically on the touristic sector. That is why there is a need to innovate and reinvent the touristic offer constantly. Throughout the years, tendencies and tourism types has changed and developed, adapting to the market and clients expectations. Beach hotel, all inclusive hotel offers, mountain tourism, hiking, ecotourism, city tourism, are some of the types of tourism that we highlight in this region. !owadays, in seeking to expand the offer to the clients, the hotels have included some variations in the services, such as Spas, golf, convention centers, big casinos, etc. The aim of this paper is to list the latest tendencies in hotel design and services in the Caribbean Region, and highlight its progresses in energy efficiency and sustainable design.