North America-

The United States alone accounts for over one-third of global revenues according. North American countries are famous for various wellness tourism specialties. Below are some of the famous wellness centers across North America-

States	Wellness Tourism Specialty	Top Wellness Centres
Arizona	Destination Spas	Sedona Arizona- Enchantment resort
California	Weight loss and detox retreats	Golden Door- Escondido California
Colorado	Hiking and Mountain Yoga retreats	Healing Connexions wellness retreats- Oak Creek Colorado
New York	Urban healthy hotels & spas	Equinox hotel New york

Over one-third of the states in the United States now promote some form of wellness tourism on their official state tourism marketing website (by comparison, only eight states were marketing the sector in 2013). These are primarily concentrated in the western United States and typically highlight their natural hot springs and/or spas. A few states also emphasize a broader, more holistic approach to wellness; for example, New Mexico highlights its Native American-inspired traditions and treatments, while Maine markets meditation and yoga amidst its natural scenery. For Canada, six out of its eleven provinces actively promote wellness to tourists. While hot spring bathing figures prominently, some of the major tourist destinations, such as Ontario and British Colombia, also focus on spas and general wellness offerings.

Urban hotels providing Yoga/Fitness- Companies such as Canyon Ranch and Six Senses are expanding from their base of destination resorts into major U.S. metropolitan areas (e.g., Six Senses announced that their first North American property will be a luxury urban hotel adjacent to Manhattan’s popular High Line). Luxury brands such as Four Seasons, Ritz-Carlton, and Mandarin Oriental have created wellness programs and health and fitness offerings that rival the top destination spa resorts. Mandarin Oriental hotels, for example, have on-site wellness professionals who offer customized Pilates, yoga, meditation, and tai chi classes.Many hotel chains have developed partnerships with recognized wellness industry leaders to increase flexibility and offer expanded services/programming to guests. These partnerships can range from streaming content (e.g., Pilates, yoga, meditation) to providing interactive fitness equipment (e.g., Peloton). Examples of partnerships between major brands include: Shangri-La and Lululemon; Mandarin Oriental Hotels and the Mayo Clinic; Park Hyatt Hotels and MNDFL Meditation; Fairmont Hotels with Reebok and Technogym; and Wyndham Hotels and Resorts with Stay Well™/Delos.

Thermal Springs/ Spas- The majority of thermal/mineral springs are located in the Western and Southwestern United States and Western Canada, and these establishments tend to be fairly rustic bathing- and swimming-focused facilities.

Global Wellness Institute defines wellness tourism as travel associated with the pursuit of maintaining or enhancing one’s personal wellbeing. Below is the table explaining the difference between medical tourism and wellness tourism.

Wellness tourism is heavily concentrated in several major countries across North America, Europe, and Asia-Pacific according to a report from Global wellness institute. Below are the top destinations for wellness tourism around the world.

Europe-

Wellness tourism has deep roots in Europe. For centuries, people have traveled within the region to take advantage of hot springs, alpine air, sea breezes, slow food, and idyllic landscapes, in order to escape from everyday life and pursue recreation and healing. Below are some of the famous wellness centers across Europe-

Countries	Wellness Tourism Specialty	Top Wellness Centres
Austria	Alpine wellness tourism	St Martin chalets - Austrian Alpine wellness and fitness, Salzburg's Lungou, Austria
France	Thalassotherapy	Côté Thalasso thalassotherapy centre
UK	Weekend Wellness retreats & bootcamps	No.1 Bootcamp - Norfolk UK
Norway	Nordic Wellness	Pust - Tromso
Finland	Sauna	Rajaportin Sauna, Tampere, Lakeland
Germany	Climatic Health Resorts	Hotel Oberstdorf- Alpine spa resort Germany
Russia	Sanatoria Banya	Rus Sanatorium
Hungary	Magnolia Day Spa-Budapest	Pust - Tromso

In Central and Eastern Europe, wellness tourism is intrinsically linked to thermal resources and an extensive network of historic health resorts and sanatoria, where guests stay for doctor supervised, water-based medical treatments, financed wholly or partially by national insurance systems.

Bathing traditions; for example, Finnish saunas, Austrian sauna aufguss, and Russia banya all offer distinctive experiences that combine wellness with rituals, community, fun, and entertainment, within a specific cultural context

Thermal and mineral springs have been a part of wellness rituals in many European countries for centuries, and they are intrinsically linked to the strong bathing culture and tradition across the continent. Natural therapies related to water are as extensive as they are varied: balneotherapy, thalassotherapy, mud, salts, algae, etc. “Roman Thermal Spas of Europe” is a multi-country (Greece, Germany, Hungary, Portugal, France, and Bulgaria) partnership to develop and promote thermal tourism packages involving spas and health resorts with a Roman origin.

Asia Pacific-

Wellness tourism continues its rapid growth trajectory in the Asia-Pacific region, as more stressed-out people look to travel for respite and rejuvenation. Below are some of the famous wellness centers across Asia-Pacific region-

Countries	Wellness Tourism Specialty	Top Wellness Centres
India	Meditation , Yoga, Ayurveda resorts	Ananda in the Himalayas, Rishikesh, Uttarakhand
China	Hotspring resorts, TCM	Beijing Longmai Hot Spring Resort
Russia	Sanatoria Banya	Rus Sanatorium
Korea	Jjimjilbang	Supsok Hanbang Land Seoul sauna near Ansan Mountain
Japan	Onsen supersento	Ryusenji no Yu: Hachioji Minamino, Tokyo
Malaysia, Thailand	Executive checkups	Mahkota Medical Centre -Melaka Malaysia, Bangkok Hospital- Bangkok Thailand

Asian countries are promoting different aspects of their wellness sectors, such as beauty and traditional bathhouses in South Korea; healthy eating in Vietnam; meditation, Ayurveda, and yoga in Sri Lanka and India; and spirituality, meditation, and healing in Nepal and Bhutan

The Chinese wellness tourism sector, while enormous, mostly caters to its domestic travelers. The interest and appetite for wellness travel continue to rise among Chinese consumers, many of whom are rediscovering their wellness heritage and healing systems — from Traditional Chinese Medicine (TCM) and herbal medicine, to qigong, meditation, and martial arts.

Stressed out executives who want a medical checkup, detox, meditation, and life coaching while on vacation; patients recovering from minor procedures (and their families) looking for a healing setting all these people can consider their wellness trips to countries like Malaysia, Singapore, South Korea, Thailand, and Philippines

Australia is both a major source and destination for wellness travelers, Already home to a number of well-known wellness resorts and hot springs. Australia and New Zealand are leveraging their thermal resources aggressively for tourism promotion. The Peninsula Hot Springs in Australia is undergoing a significant expansion that will add overnight accommodations, new hot pools, ice cave/plunge pools, a group sauna area, an amphitheater, a “Food Bowl” that will promote organic produce, and expanded wellness programming according to a report from Global Wellness Institute 2018.

Asia-Pacific remains the region with the highest number of spas and the fastest growth, with the hotel/resort spa category leading in new investments and openings.