Spas with adults only

Hajdúszoboszló, Hajdú-Bihar

A medical thermal bath in Hajdúszoboszló, Hungary, with iodine-bromine-salt water pools treating rheumatic and joint conditions, open daily 7am–7pm.

Atlanta, Georgia

Membership-based medical spa in Buckhead combining aesthetics, massage and facials, and lounge spaces for meditation and recovery.

Pärnu, Pärnu County

A 193-room medical spa hotel in Pärnu with a pool and sauna complex, salt therapy, physiotherapy and water aerobics, open to day visitors.

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.

Tbilisi

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

Austin, Texas

Day spa and medspa inside The Loren Hotel by Lady Bird Lake, open to both hotel guests and the public, with massage, facials and injectables.

San Diego, California

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

Rogaška Slatina, Savinjska

A reservation-only medical spa and clinic in Rogaška Slatina combining diagnostics, wellness treatments and the region's magnesium-rich Donat mineral water.

Mariánské Lázně, Karlovy Vary Region

Medical spa resort in Mariánské Lázně combining balneology, physiotherapy and Ayurveda programs, open only to overnight hotel guests aged 18+.