Disinfection of swimming pools and hot tubs (pools/spas) are necessary to prevent outbreaks and exposure to waterborne pathogens from water recreation. However, harmful disinfection byproducts (DBPs) from heavy chlorine usage continue to be a growing concern. Chlorine-based disinfectants also react with human inputs like sweat, urine, cosmetics, sunscreen, etc., that are introduced in a pool/spa, further increasing the severity of the DBP problem. We reviewed the current status of water disinfection technologies in the pool/spa industry and summarize the methods, trends, advantages, and disadvantages from a health and consumer viewpoint. Market research and face-to-face interviews were also accomplished with 100 industry experts and end-users in the US. We then integrate the literature findings in parallel with these market insights. Overall, we conclude the future of water recreation is trending away from high dosage chlorine-based solutions to disinfect swimming water and turning to alternatives with better sustainability and safety in mind. Lastly, we discuss the future directions of these technologies with current and past trends, offering insights to where research and development should be focused for both the user's health and overall experience.