Start with ambient light
Ambient lighting is general illumination. Ideally, this nondirectional light comes from a combination of natural and artificial light. You should look to daylight as your first lighting choice. That can be tough in bathroom; many lack an exterior wall. Even with an exterior wall, window space is limited by privacy concerns and the need to pack a sink, shower and/or tub, and toilet into the space.
I often look skyward to bring in natural light. Skylights, both the traditional and tube types, supplement windows and bring light to landlocked rooms. While tubular skylights are compact, flexible, and virtually leakproof, I find the lightwell of a traditional skylight especially useful in the bathroom. Sunlight reflects off the sides of the well, creating a nice, even light around the room. I typically splay the lightwell to allow more light into the bathroom.
As important as it is to have good day-lighting, the bathroom receives the heaviest use on the shoulders of the day, so artificial light is required. It can come from an overhead fixture, recessed cans, wall sconces, cove lights, valances, or a combination of these choices. For small and moderate-size bathrooms without alcoves or L-shaped layouts, you might find that a single overhead fixture works well for ambient light. In large or irregularly shaped bathrooms, you’ll need additional fixtures like recessed cans or cove lights.
For ambient light, designers use the rule of thumb of 1w of incandescent light, or its compact-fluorescent equivalent, for each square foot of floor. Put ambient lights on a dimmer so that they can account for daylight and for your mood. (Consider the amount of light you’d want for an evening bath versus the workweek morning routine.) Adjustable light levels also let older and younger folks find the precise level of light they need for nighttime trips to the toilet. Finally, dimmers let you mix the level of ambient light with task and accent lighting to create patterns of shadow and light, an interplay that adds interest and drama.

Light each bathroom activity.
Photo by: Russell Hamlet