Spas with reservation required

Houston, Texas

A 20,000-square-foot hotel spa in Houston's Westside offering a biohacking facial machine, hydrotherapy circuit and co-ed relaxation lounge, by appointment

Miami, Florida

Hotel spa at The Ritz-Carlton Key Biscayne, Miami, with treatment suites, sauna, steam room and whirlpool, open to hotel guests 18 and up by appointment.

Galway, Connacht

Adults-only hotel spa in Galway with a thermal suite, hydro pool and sauna; day pass runs about €50 and reservations are required.

Miami, Florida

Hotel spa inside Trump National Doral with 42 treatments, couples massages, sauna, steam room, cold plunge and jacuzzi, open daily 9am-7pm.

Canggu, Bali

A hotel spa at Theanna Villa in Canggu with a pool, gym, restaurant and shuttle service, open to guests by reservation only.

Aix-les-Bains, Auvergne-Rhône-Alpes

Medical thermal baths in Aix-les-Bains treating respiratory and oral mucosal conditions with sulfur-rich water, mostly through prescribed multi-day cures.

Taos, New Mexico

A reservation-only wellness studio in Taos offering hyperbaric oxygen, colon hydrotherapy and infrared sauna sessions aimed at altitude recovery.

Palm Springs, California

A 16-room adults-only hotel in Desert Hot Springs with three natural mineral-water pools fed by a 350-foot geothermal well, plus a small on-site spa and

Merano, Trentino-South Tyrol

An adults-only, guests-only longevity retreat and hotel spa in Merano with a medical-led wellness institute and private suite treatments.

Rogaška Slatina, Savinjska

Wellness center at Grand Hotel Rogaška in Rogaška Slatina, Slovenia, with pools, saunas and fitness; day pass available by reservation.

Miami, Florida

Hotel spa at The Setai in Miami Beach with 7 ocean-view treatment rooms, 5 couples suites, saunas, steam and a cold plunge.

Gold Coast, Queensland

A 90-minute hydrotherapy circuit in Southport with a Finnish rock sauna, 5° ice baths and hot/cold magnesium pools, day pass $49.

Scottsdale, Arizona

Adults-only hotel spa at the Fairmont Scottsdale Princess with a rooftop pool, grotto waterfall pool, sauna, steam room and cold plunge, open daily 6am-7pm.

Charleston, South Carolina

Adults-only luxury day spa in Charleston's Westside offering 42 treatments and a $370 signature package, with reservations required and no walk-in day passes.

Nashville, Tennessee

Upscale day spa in Franklin outside Nashville offering facials, massages, a salt room, infrared sauna and hydrotherapy tub, open daily by reservation.

Charleston, South Carolina

A 52-treatment luxury day spa in Mount Pleasant near Charleston, with Vichy showers, couples suites and a $370 signature package; reservations required.

The Colony, Texas

A day-soaking spa in The Colony with mineral pools at varying temperatures, seven saunas, cold plunges and a poolside café.

Luhačovice, Zlín Region

A destination spa in Luhačovice built around mineral springs, offering medical cures, sauna world, outdoor whirlpools and fitness, open daily 7am–8pm.

Wulai, New Taipei

A hilltop Wulai B&B with sodium bicarbonate hot-spring baths in every room and an outdoor infinity pool, geared toward couples.

Los Angeles, California

Day spa in Woodland Hills with a hydrotherapy circuit, massage, facial and body treatment menu, open daily 8am-10pm (closed Tuesdays).

Carefree, Arizona

A 20-plus-acre desert wellness resort in Carefree, Arizona, with a full spa, pools, and 100-plus weekly fitness and mindfulness classes open to day visitors by

San Diego, California

A La Jolla medical spa specializing in lymphatic drainage, colon hydrotherapy and detox treatments, open since 1993, adults only, by reservation.

Lake Tahoe, California

Lakeside spa inside Tahoe Lakeshore Lodge in South Lake Tahoe, with a hot tub, polar plunge and dry sauna, by appointment only.

Koh Samui, Surat Thani

Kamalaya Koh Samui is an adults-only destination spa and wellness retreat on Laem-Set Rd with over 100 treatments, thermal circuits and multi-day health