Spas with reservation required

Bad Wörishofen, Bavaria

Adults-only thermal baths in Bad Wörishofen with palm-house pools, mineral pools and saunas; day passes available, minimum age 16.

Lake Tahoe, California

A South Lake Tahoe day spa built around Japanese cedar enzyme detox baths, with a lake-view relaxation lounge and couples sessions by reservation only.

Tbilisi

A medical spa in Old Tbilisi built around natural sulfur-mineral water and volcanic mud, operating since 1938, open daily 10am–9pm.

Chianciano Terme, Tuscany

Thermal day spa in Chianciano Terme offering day passes, couples massages and a wellness-food menu, closed Thursdays and Wednesdays.

London, England

A Russian-style banya bathhouse in Belgravia offering oak-lined steam rooms, cold plunge pools and leaf-massage rituals, with day passes by reservation only.

Portland, Oregon

An 18-and-up, clothing-optional spa in Portland's Kerns neighborhood with a salt hot tub, sauna, steam room and cold plunge, reservation required.

Taos, New Mexico

Hotel day spa at El Monte Sagrado in Taos with a hydrotherapy circuit, saltwater pool and treatment rooms, open daily, day passes available.

Dallas, Texas

Hotel spa in Uptown Dallas with 12 treatments, couples' rooms, separate men's and women's lounges, sauna, steam room, cold plunge and whirlpool.

Marana, Arizona

Adults-only hotel spa at Dove Mountain Resort in Marana with desert-themed treatments, an infinity-edge pool, sauna and steam room; facility access comes with

Lake Tahoe, California

A 17-room, adults-only hotel spa at Lake Tahoe's Ritz-Carlton with a heated lap pool, sauna and steam room; day pass access requires booking a treatment.

Portland, Oregon

Adults-only hotel spa in downtown Portland with a $50 day pass, infinity pool, sauna, steam room and cold plunge shower, booked in advance only.

Wanaka, Otago

A lakefront wood-fired sauna at The Outlet in Wānaka running guided or self-guided group sessions with cold dips in the lake between rounds.

Santa Ynez, California

Adults-only resort spa inside Chumash Casino Resort in Santa Ynez with 21 treatments, a mineral pool, cold plunge and couple's suites.

Scottsdale, Arizona

Resort spa at Camelback Inn in Scottsdale with 20 treatment rooms, a thermal circuit and day-pass access open to non-guests.

Napa Valley, California

Adults-only hotel spa in Napa Valley with a co-ed thermal circuit of sauna, steam room and cold shower, open daily 10am–6pm; day passes available.

San Diego, California

Adults-only hotel spa in Carmel Valley with a hydrotherapy circuit, two fireplace lounges, and a $100 day pass covering pools and fitness facilities.

Jackson Hole, Wyoming

A hotel spa at Four Seasons Jackson Hole with treatment suites, whirlpools, a cold tub, salon services and fitness facilities, reservation-only.

Hanmer Springs, Canterbury

Day spa in Hanmer Springs offering massages and facials, with some packages including access to the thermal pools complex next door.

Park City, Utah

A hotel spa in Park City with seven treatment rooms, hydrotherapy tub and steam rooms, open to guests by reservation, minimum age 16.

Santa Fe, New Mexico

Small hotel spa at Hotel Loretto in downtown Santa Fe offering two seasonal treatments by reservation, no walk-in day pass.

Bodrum, Muğla

Adults-only hotel spa at Mandarin Oriental, Bodrum with sauna, steam, cold plunge and thermal pools, open daily 10am-10pm, reservation required.

Killarney, Munster

A hotel spa in Killarney National Park with an adults-only Vitality Suite of hydrotherapy pool, sauna, steam room and outdoor hot tub.

Napa Valley, California

Adults-only hotel spa in downtown Napa with thermal circuits, sauna, steam and cold plunge, plus massages, facials and medical aesthetics.

Palm Beach, Florida

A 40,000-square-foot day spa at PGA National Resort in Palm Beach Gardens, open to the public, with mineral pools, steam, sauna and a $100 treatment minimum