Spas with reservation required

Miami, Florida

Nature-themed day spa in Brickell with hydro massage, a hydrotherapy circuit and couples treatments, open daily 9am-6pm.

Phuket

Adults-only Ayurvedic resort on a Rawai hillside with doctor-led Panchakarma programs, a saltwater pool and 47 private villas.

Denver, Colorado

A Whittier day spa in Denver where private suites pair beer and wine baths with infrared saunas and a self-pour taproom.

Denver, Colorado

A Littleton day spa centered on private suites with beer and wine baths, infrared sauna, zero-gravity massage and a self-pour taproom.

Santa Fe, New Mexico

A 77-acre hot springs resort outside Santa Fe with spring-fed thermal pools, day-pass soaking packages from $175, and overnight lodging.

Austin, Texas

Eco-friendly day spa in Anderson Mill, Austin, offering organic massage, facials and body treatments with a sauna, steam room and cold plunge.

Saturnia, Tuscany

Walk-in thermal park in the Maremma countryside with four outdoor sulfur pools, hydromassage jets and a vascular circuit fed by a 3,000-year-old spring.

Scottsdale, Arizona

Recovery-focused studio in South Scottsdale centered on a cold plunge, hot tub, infrared sauna, compression therapy and red light rooms rather than traditional

Saratoga Springs, New York

Historic 1935 bathhouse in Saratoga Springs offering mineral water soaks and massages in original tubs, reservation only, moderate pricing.

Mexico City, Quintana Roo

A Japanese-style hotel spa in Mexico City's Cuauhtémoc district with tatami suites, outdoor onsen baths and a $2,080 day pass for couples.

Ras Al Khaimah

A luxury hotel spa on Hayat Island in Ras Al Khaimah with pearl-shaped treatment rooms and a Turkish Hammam, open daily 10am–7pm by reservation.

Asheville, North Carolina

A Japanese-inspired destination spa on a mountainside outside downtown Asheville, built around private outdoor salt hydrotherapy tubs and massage.

Sierraville, California

A non-profit hot springs retreat near Lake Tahoe with natural spring pools, reservation-only day and evening soaks, camping and rooms, closed Mondays and

Sopot, Pomerania

A medical resort spa in Sopot built around local brine and mud treatments, open to hotel guests by reservation rather than day visitors.

Austin, Texas

Adults-only hotel spa at the Fairmont Austin with nine treatment rooms, a hydrotherapy circuit, sauna and cold plunge, open daily with day passes available.

Piešťany, Trnava Region

Spa Irma on Piešťany's spa island offers historic mud and mirror thermal pools, a hydrotherapy circuit and a 60-treatment medical spa menu, adults only.

Palm Springs, California

Adults-only hotel spa at Tommy Bahama Miramonte in Indian Wells with 15 treatments, eucalyptus steam rooms, a hydrotherapy jacuzzi and saltwater pool.

Essaouira, Marrakesh-Safi

A budget hammam and day spa in Essaouira's medina offering scrub treatments, massages, hair and nail services, open daily 10am-8pm.

San Diego, California

Hotel spa at the historic Hotel del Coronado with an ocean-view pool, 20 treatments, and a seaweed-based signature Ocean Essence Ritual.

Austin, Texas

A fifth-floor hotel spa inside JW Marriott Austin with eight treatments, a heated rooftop pool and a 16-plus minimum age.

Naples, Florida

Upscale day spa in Naples offering infrared sauna, massage, facials and foot detox, with a $230 signature massage and couples packages.

Los Cabos, Baja California Sur

A hotel spa at Corazón Cabo Resort offering massages, facials and a hydrotherapy circuit with sauna, steam room and hot tub, no day passes sold.

Tbilisi

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

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.