The Top 10 Destination Spas in the U.S. in 2019

Mii amo
Photo: Courtesy of Mii amo

When you’re in need of a true mind-body recharge, the best fix is to get off the grid and hit the reset button through a dedicated wellness-centered getaway. For travelers seeking this type of retreat, the good news is that you don’t have to wander far: some of the world’s best destination spas happen to be located right here in the United States.

Every year for our World’s Best Awards survey, T+L asks readers to weigh in on travel experiences around the globe — to share their opinions on the top hotels, resorts, cities, islands, cruise ships, spas, airlines, and more. In the destination spas category, readers rated properties on their accommodations and facilities, treatments, service, food, and overall value.

Related: The World's Best Awards 2019

For years, the Western U.S. ruled as the country’s premier wellness region. But in the past few years, we’ve seen the trend migrate east, with new destination spas opening in locations like New York’s Long Island (Shou Sugi Ban House) and North Carolina’s Blue Ridge Mountains (the Art of Living Retreat Center). Still, destination spas in the West and Southwest continue to dominate in our annual World’s Best Survey. This year, seven out of the top-ranking properties — including our winner — can be found in Arizona, New Mexico, or California.

We partly chalk it up to the awe-inspiring landscapes found in these locales — from the windswept coastal scenery at the Ranch Malibu (No. 6) to the sunbaked swaths of desert at Miraval Arizona Resort & Spa (No. 4) and the densely wooded grounds at Ten Thousand Waves (No. 8), in New Mexico.

Related: The Top 5 International Destination Spas

Of course, beautiful scenery abounds in other parts of the country — like Lake Austin, where our No. 7 winner, Lake Austin Spa Resort, is located. The all-inclusive destination spa is located just 30 minutes from downtown Austin, but it feels worlds away, thanks to its serene perch on 19 waterfront acres. “The setting is so conducive to relaxation,” one reader wrote. “The grounds are so welcoming and inspiring, with the lake views and the use of native plants.” In addition to communing with nature, guests can opt for a treatment at the LakeHouse Spa or break a sweat by signing up for one of dozens of different exercise classes — kickboxing, weight training, barre, you name it. “The activities and fitness classes are top-notch,” raved one respondent.

Offerings at the Lodge at Woodloch — an adults-only retreat in the Poconos — are just as impressive. Guests at this year’s No. 9 spa have their pick of activities, ranging from forest bathing and bird-watching to watercolor painting and tenkara (Japanese fly-fishing). Its spa offers treatments that are both beautifying (LED facials) and soul-soothing (chakra-balancing massages). But the biggest selling point at the popular Pennsylvania retreat is the service. “They key ingredient to the Lodge at Woodloch,” one reader wrote, “is the warmth and genuine hospitality of the staff.”

Read on to find out which property earned our No. 1 spot.

10. Canyon Ranch, Lenox, Massachusetts

Canyon Ranch Wellness Resort-Lenox
Courtesy of Canyon Ranch Wellness Resort – Lenox

Score: 88.00

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  • Book This Deal
  • Canyon Ranch Lenox,, rates from $2,098/night.
  • Includes $160 spa, sport, or integrative wellness service, welcome amenity.

9. The Lodge at Woodloch, Hawley, Pennsylvania

The Lodge at Woodloch women's retreat
Courtesy of The Lodge at Woodloch

Score: 88.96

More information:

  • Book This Deal
  • The Lodge at Woodloch,, rates from $858/night.
  • Includes $50 spa credit, chocolate-covered strawberry welcome amenity.

8. Ten Thousand Waves, Santa Fe, New Mexico

Ten Thousand Waves
Laurie Allegretti/Courtesy of Ten Thousand Waves

Score: 89.48

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7. Lake Austin Spa Resort, Texas

Lake Austin Spa Resort
Courtesy of Lake Austin Spa Resort

WBA Hall of Fame honoree. Score: 90.13

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6. The Ranch Malibu, California

The Ranch Malibu Great Room
Courtesy of The Ranch Malibu

Score: 91.12

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5. Ojo Caliente Mineral Springs Resort & Spa, Ojo Caliente, New Mexico

Ojo Caliente Mineral Springs Resort & Spa guest room
Doug Merriam / Courtesy of Ojo Caliente Mineral Springs Resort & Spa

Score: 91.98

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4. Miraval Arizona Resort & Spa, Tucson, Arizona

Miraval Arizona Resort & Spa living room
Courtesy of Miraval Arizona

Score: 92.89

More information:

  • Book This Deal
  • Miraval Arizona Resort and Spa,, rates from $978/night.
  • Includes $100 resort credit, Miraval journal.

3. Sunrise Springs Spa Resort, Santa Fe, New Mexico

Sunrise Springs Spa Resort Moon Room
Courtesy of Sunrise Springs Spa Resort

Score: 93.22

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2. Cal-a-Vie Health Spa, Vista, California

Cal-a-Vie Health Spa labyrinth
Courtesy of Cal-a-Vie Health Spa

Score: 94.19

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1. Mii Amo, Sedona, Arizona

Mii amo pool
Courtesy of Mii amo

WBA Hall of Fame honoree. Score: 94.57

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Mii Amo boasts an enviable address at the foot of Sedona’s Boynton Canyon on a purported vortex, a location where the earth’s energy is said to be at its most concentrated. The 16-room property celebrates the majesty of its red-rock surroundings through healing New Agey therapies like aura readings and energy clearings, as well as classics on topics such as vortex energy and medicinal plants. “The world would be a better place if everyone embarked on a Mii Amo journey,” one guest remarked. Readers also raved about the cuisine, which focuses on organic ingredients and can be tailored to individual dietary needs. “The restaurant staff was happy to alter my dishes so that I could enjoy my meals while sticking to my diet,” one reader wrote.

  • Book This Deal
  • Mii Amo,, rates from $1,804/night.
  • Includes daily breakfast, $100 resort credit.

See all of our readers' favorite hotels, cities, airlines, cruise lines, and more in the World's Best Awards for 2019.

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