The world's premier wellness retreats, longevity clinics, and medical spa destinations â ranked by treatment depth, exclusivity, and powerful outcomes.
The Astra Luxury Index ranks the world's most extraordinary offerings by Astra Score â a proprietary 10-point scale assessing provenance, exclusivity, craftsmanship, experience quality, and global influence. Updated annually. Only those that reach the celestial tier earn a place on this list.
| # | Name | Location | Description | Astra Score |
|---|---|---|---|---|
| 1 | Clinique La Prairie Clinique La Prairie |
Montreux, Switzerland | The original longevity clinic; Revitalisation programme since 1931; cell therapy and Swiss precision medicine | 9.8 / 10 |
| 2 | SHA Wellness Clinic SHA Group |
Alicante, Spain | Macrobiotic-based integrative medicine; SHA Method combining Eastern and Western disciplines | 9.7 / 10 |
| 3 | Lanserhof Tegernsee Lanserhof Resorts |
Bavaria, Germany | The LANS Med Concept: rigorous medical diagnostics merged with alpine spa luxury; minimum 7-night cure | 9.7 / 10 |
| 4 | Chiva-Som Chiva-Som International |
Hua Hin, Thailand | The original health resort; 30 years of bespoke wellness programming in a Thai garden sanctuary | 9.6 / 10 |
| 5 | Mayo Clinic Executive Health Mayo Clinic |
Rochester, USA | The gold standard of American medicine; two-day executive physical covering every system | 9.6 / 10 |
| 6 | Cleveland Clinic Lifestyle 180 Cleveland Clinic |
Cleveland, USA | Evidence-based intensive cardiac and metabolic programme; physician-led, not spa-adjacent | 9.5 / 10 |
| 7 | Aman Spa Network Aman Resorts |
Global | Bespoke spa journeys at 35 Aman properties worldwide; each anchored in local healing traditions | 9.4 / 10 |
| 8 | Canyon Ranch Canyon Ranch Wellness |
Tucson & Lenox, USA | The American wellness institution; integrative medicine, fitness, and behavioural health under one roof | 9.3 / 10 |
| 9 | Six Senses IHG / Six Senses |
Global | Sleep programme, longevity pathways, and Alchemy Bars across 20+ destinations; data-driven wellness | 9.3 / 10 |
| 10 | The Farm at San Benito Holistic Wellness Centre |
Batangas, Philippines | Medical wellness resort; juice fasting, hydrotherapy, and Ayurvedic medicine in a Philippine jungle | 9.2 / 10 |
| 11 | Euphoria Retreat Euphoria Retreat |
Mystras, Greece | Byzantine monastery reimagined; Spartan-inspired detox, cold plunge, and Greek herbal medicine | 9.2 / 10 |
| 12 | Longevity Escape Vilalara Longevity Health & Wellness |
Algarve, Portugal | Atlantic-facing medical spa; epigenetics testing and biohacking protocols for the performance-focused | 9.1 / 10 |
| 13 | COMO Shambhala Estate COMO Hotels |
Ubud, Bali | A residential wellness retreat in the Ayung River gorge; raw food, yoga, and Ayurveda programmes | 9.1 / 10 |
| 14 | The Well NYC The Well |
New York, USA | Urban wellness club for the Manhattan executive; functional medicine, IV therapy, acupuncture daily | 9.0 / 10 |
| 15 | Miraval Arizona Miraval Resorts |
Tucson, USA | Mindful living flagship; equine therapy, silence programmes, and intentional plant-based dining | 9.0 / 10 |
| 16 | Cal-a-Vie Health Spa Cal-a-Vie |
Vista, California | French-inspired estate wellness; 24-person maximum; the most exclusive ratio in American spa | 8.9 / 10 |
| 17 | Willow Stream Spa Fairmont Hotels |
Banff & Global | Thermal circuits in UNESCO wilderness; the Fairmont wellness brand at its most spectacular | 8.9 / 10 |
| 18 | Preidlhof Luxury DolceVita Resort Preidlhof |
South Tyrol, Italy | Alpine silence retreat; minimum 7-night cure; bioresonance, fascia therapy, and Dolomite mountain air | 8.8 / 10 |
| 19 | ESPA Life at Corinthia Corinthia Hotels |
London, UK | Four-floor urban spa with DNA nutrition analysis, medical screening, and bespoke longevity plans | 8.8 / 10 |
| 20 | Zulal Wellness Resort Chiva-Som / Katara |
Northern Qatar | The Middle East's largest wellness resort; traditional Arabic and Islamic medicine at scale | 8.7 / 10 |