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A destination spa or health resort is a resort centered on a spa, such as a mineral spa. Historically, many such spas were developed at the location of natural or . In the era before modern biochemistry and pharmacotherapy, "taking the waters" was often believed to have great medicinal powers. Even without such mystic powers, the stress relief and health education of spas also often has some degree of positive effect on health. Destination spas offer day spa facilities, but what sets them apart is that they also offer hotel facilities so that people can stay multiple nights.
Typically, over a seven-day stay, they provide a comprehensive program that includes spa services, physical fitness activities, wellness education, healthy cuisine, and special interest programming.
A special subgroup are the medical spas who offer treatments that are paid back by the national health insurance program.
Destination spas have been in use for a considerable time, and some are no longer used but are rather preserved as elements of earlier history; for example, Gilroy Yamato Hot Springs in California is such a historically used spa whose peak patronage occurred in the late 19th and early 20th century.
Resort spas are generally located in , and offer similar services via rooms with services, meals, body treatments, and fitness a la carte.
The European Spas Association represents medical spas, health resorts, and regional spa associations in 19 European countries.
It is common for elderly people to take every year a one-week treatment in medical public spas, which offer treatments for patients with syndrome diseases such as fibromyalgia, multiple sclerosis, rheumatism, and arthritis.
Treatment is also offered in Ministry of Ayush hospital revalidation centers, in the Middle Eastern Hammam steam bath facilities, as well as Asian or "Traditional Chinese Hot Spring" centers, and Japanese shinrin-yoku centres.
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