Spa
Last reviewed: January 10, 2025·Originally published: December 24, 2025
Written by Nusu Editorial Team with AI assistance
Reviewed by Nusu Editorial Team
How to Find the Right Spa for Your Needs
Spas offer a range of experiences from quick relaxation treatments to comprehensive wellness programs. Whether you want a stress-relieving massage, a refreshing facial, or access to hydrotherapy amenities, the right spa helps you feel comfortable, safe, and cared for.
This guide helps you understand different spa types, compare services, ask clear questions, and know what to expect before your visit. We aim to give you the information you need to choose a spa experience that matches your goals.
If you are pregnant, managing a health condition, taking medications that affect your skin, or have a history of allergic reactions, check with a licensed clinician before booking certain services. Spa care is supportive wellness, not medical treatment.
What Type of Spa Experience Do You Need?
Start with your goal. Labels and offerings vary by spa, but these are common terms you may encounter when researching options.
| Your goal | Labels you might see | What to ask |
|---|---|---|
| Relaxation and stress management | Relaxation massage, Swedish massage, spa day package | Ask about service length, pressure options, and amenity access. |
| Skin refresh and maintenance | Facial, hydrafacial, skincare treatment | Ask about products used and how services are customized for skin type. |
| Body exfoliation and renewal | Body scrub, body polish, body wrap | Ask about skin sensitivity, exfoliant type, and aftercare. |
| Deep muscle tension relief | Deep tissue massage, therapeutic massage | Ask about pressure levels and communication during service. |
| Hydrotherapy and heat therapy | Soak, steam room, sauna, hot tub | Ask about temperature guidance, time limits, and health considerations. |
| Medical-grade skin treatments | Chemical peel, laser, medical facial | Ask about clinician credentials and whether a consultation is required. |
| Couple or group experience | Couples massage, spa party, group package | Ask about room setup, scheduling, and customization options. |
| Extended wellness experience | Spa day, retreat, wellness package | Ask about included services, amenities, and timing. |
If a label sounds unfamiliar, ask the spa to describe what the service includes, what it feels like, and who it is best suited for.
Understanding Spa Types
Different spa types offer different experiences, staffing, and services. Understanding these categories can help you find the right fit.
Day spa
Day spas offer treatments on an appointment basis without overnight stays. They typically provide massage, facials, body treatments, and sometimes nail services. Visits can range from a single about 30-minute service to full-day packages.
Day spas are the most common spa type and are accessible for occasional relaxation or regular maintenance treatments.
Medical spa (med spa)
Medical spas combine traditional spa services with medical-grade treatments performed under physician supervision. Services may include injectables, laser treatments, chemical peels, and advanced skincare procedures.
Med spas should have a licensed medical director (typically an MD, DO, or in some states a nurse practitioner). Treatments may require consultations, and results can be more dramatic than traditional spa services.
If you are considering a med spa for procedures, ask about the supervising physician, the credentials of the person performing your treatment, and what the consultation process involves.
Resort or destination spa
Resort spas are located within hotels or resorts and often offer extended amenity access along with treatments. Destination spas focus on immersive multi-day wellness experiences with comprehensive programming.
These options are suited for vacations or extended wellness retreats rather than quick visits.
Wellness spa
Wellness spas emphasize holistic approaches and may offer services like nutrition counseling, fitness classes, meditation, or alternative therapies alongside traditional spa treatments.
Club spa
Club spas are located within fitness clubs or gyms and offer spa services primarily to members. These can be convenient if you already belong to the facility.
Common Spa Services Explained
Understanding what different services involve can help you choose treatments and communicate your preferences.
Massage
Spa massage focuses on relaxation and stress management. Common types include Swedish massage (flowing strokes for relaxation), deep tissue (firmer pressure for tension), and hot stone (heated stones for warmth and relaxation).
What it feels like: Relaxation massage feels soothing and rhythmic. Deep tissue involves more pressure and may be intense in tight areas. You should feel free to request adjustments to pressure at any time.
Facial
Facials are skincare treatments that typically include cleansing, exfoliation, extractions (optional), masking, and moisturizing. They may be customized for different skin types and concerns.
What it feels like: Most facials feel relaxing, with various textures and temperatures as products are applied. Extractions can be uncomfortable but should not be painful. Let your esthetician know if you want to skip or limit extractions.
Body scrub and wrap
Body scrubs exfoliate the skin using abrasive materials like salt, sugar, or coffee grounds. Body wraps involve applying products to the body, wrapping in sheets or blankets, and allowing the products to absorb.
What it feels like: Scrubs involve rubbing and friction that can feel invigorating. Wraps involve warmth and stillness. Both typically leave skin feeling smooth and refreshed.
Hydrotherapy
Hydrotherapy uses water for relaxation and therapeutic purposes. This includes soaking tubs, whirlpools, steam rooms, and specialized water treatments.
What it feels like: Water treatments feel warming and relaxing. Hot water dilates blood vessels and can leave you feeling loosened and calm. Follow guidance on duration to avoid overheating.
Sauna and steam room
Saunas use dry heat, while steam rooms use moist heat. Both promote sweating and relaxation. Many spas include these amenities for use before or after treatments.
What it feels like: You will feel warm and begin to sweat. Most people find this relaxing, though it can feel intense. Stay hydrated and leave if you feel lightheaded or uncomfortable.
Nail services
Many day spas offer manicures and pedicures alongside other treatments. These services focus on nail care, cuticle maintenance, and polish application.
What it feels like: Generally relaxing, with soaking, filing, and massage of hands or feet. Some treatments include exfoliation or masks.
Session Details: What to Know Before You Book
Typical service lengths
Spa services vary in duration. Understanding time frames can help you plan your visit and set expectations.
Express services (typically about 15-30 minutes): Quick treatments like chair massage, mini-facials, or add-on services. Good for time-limited visits.
Standard services (typically about 50-60 minutes): The most common length for massage and facials. Provides a full treatment experience.
Extended services (typically about 75-90 minutes): Allows for more comprehensive treatment, additional techniques, or combination services.
Half-day or full-day packages (typically about 3-8 hours): Multiple services with amenity access. Typically includes time to relax between treatments.
General pricing guidance
Pricing varies significantly by spa type, location, and service. Urban day spas and resort spas tend to have higher prices than suburban locations. Med spa treatments involving technology or injectables are typically more expensive than traditional services.
Rather than providing specific numbers that may not apply to your area, ask for clear pricing upfront. Request information about:
- Individual service prices vs package rates
- Whether gratuity is included or expected separately
- Amenity access policies (included with service or additional fee)
- Membership or package options for regular visitors
- Cancellation and rescheduling policies
- Deposits required for booking
What to wear
Most spa treatments are received with some level of undressing, though you should only undress to your comfort level.
For massage: You will typically undress to your comfort level and be draped with sheets throughout, with only the area being worked on uncovered.
For facials: You may change into a robe or wrap, or simply have a draping around your neckline. You typically remain clothed from the waist down.
For body treatments: These often involve more undressing since the whole body is treated. You will be draped or wrapped, and the therapist will maintain your modesty throughout.
For hydrotherapy amenities: Swimsuits are typically worn in co-ed areas. Some spas have gender-separated wet areas where nudity may be permitted.
Spas typically provide robes and slippers. Bring a swimsuit if you plan to use pools or co-ed amenities. Wear or bring comfortable clothing to change into afterward.
Tipping etiquette
Tipping is customary at most day spas in the United States. Common practice is 15-20% of the service price for good service.
At resort spas, gratuity may be included in the price or added automatically. Ask when booking or upon arrival.
At medical spas, tipping practices vary. Treatments performed by medical professionals (doctors, nurses) typically do not involve tipping. Treatments performed by estheticians or massage therapists may follow standard tipping norms.
If you are unsure, ask the front desk about the spa's tipping customs.
Your First Visit: A Step-by-Step Walkthrough
Knowing what to expect can help you feel more comfortable and get the most from your spa experience.
Before you arrive
When booking, ask about:
- Arrival time (most spas request about 15-30 minutes early for first visits)
- What to bring (swimsuit if using amenities)
- Parking or transit options
- Any health forms to complete
- Preparation instructions for your specific service
Complete any intake forms sent in advance. These ask about health conditions, allergies, skin sensitivities, and preferences. Honest answers help therapists customize your service safely.
Avoid:
- Heavy meals right before appointments
- Sun exposure before facials or body treatments
- Shaving immediately before body scrubs (can cause irritation)
- Caffeine if you want to relax (optional)
When you arrive
Check in at reception. You will typically:
- Complete any remaining paperwork
- Receive a tour of facilities (for first visits)
- Get a locker, robe, and slippers
- Be shown to the relaxation area or waiting space
Use this time to:
- Use the restroom
- Silence your phone
- Begin relaxing in the designated areas
- Use amenities like steam rooms or saunas if time permits
Your therapist or esthetician will come to greet you when it is time for your appointment.
During your service
Your spa professional will:
- Confirm your service and discuss any concerns
- Ask about pressure preferences (for massage)
- Explain what the treatment involves
- Ask about allergies or sensitivities
- Leave the room while you undress and get situated
During the treatment:
- Speak up if pressure is too strong or too light
- Mention if you are too hot, too cold, or uncomfortable
- Request adjustments to music, lighting, or room temperature
- You can decline any part of the service (like extractions)
You are always in control. A good spa professional welcomes feedback and adjusts to your comfort.
After your service
Take your time getting up. You may feel relaxed or slightly lightheaded. The spa professional may offer water and aftercare instructions.
Aftercare varies by service:
- After massage: Drink water, avoid strenuous activity
- After facial: Avoid sun exposure, follow product recommendations
- After body treatments: Stay hydrated, avoid hot showers immediately
Use amenities if included in your visit. Many people enjoy spending time in relaxation lounges or wet areas after treatments.
Pay and tip at reception. Ask about booking future appointments if you enjoyed the experience.
How to Choose a Quality Spa
The best spa matches your goals, maintains high standards, and communicates clearly.
Look for these signals
- Clean, well-maintained facilities throughout
- Visible sanitation practices (fresh linens, sanitized tools)
- Staff who explain services clearly and ask about preferences
- Transparent pricing with no surprise fees
- Respectful handling of modesty and boundaries
- Willingness to customize services for your needs
- Spa professionals who check in during service
- Calm, professional environment
Hygiene and sanitation standards
Spas should maintain strict hygiene standards. Look for:
- Fresh linens for each client
- Sanitized equipment between uses
- Single-use items where appropriate (extraction tools, nail files)
- Clean treatment rooms and common areas
- Proper ventilation in wet areas
- Licensed and trained staff
- Posted certifications and licenses
You can ask about sanitation practices. A quality spa will explain their protocols confidently.
Red flags to take seriously
- Visible cleanliness issues (dirty linens, unsanitary tools)
- Staff who dismiss hygiene or safety questions
- Pressure to purchase products or add services
- Unclear pricing or surprise charges
- Rushed services without consultation
- Spa professionals who ignore your stated preferences
- Inappropriate behavior or boundary violations
- Reluctance to explain what services involve
Questions to ask before booking
- What does this service include?
- How long is the appointment, including any prep time?
- What should I bring or wear?
- How do you handle skin sensitivities or allergies?
- Are amenities included with my service?
- What are your sanitation practices?
- What is included in the price? Is gratuity additional?
- What is your cancellation policy?
- For med spas: Who supervises treatments? What are their credentials?
Medical Spa Considerations
If you are considering a medical spa for aesthetic treatments, additional questions apply.
Credentials to verify
- Who is the medical director? Are they licensed in your state?
- Who performs the treatment? What training do they have?
- Is a consultation required before treatment?
- What happens if there are complications?
Common med spa services
| Service | What it involves | Important to know |
|---|---|---|
| Chemical peel | Acid application to exfoliate skin layers | Requires sun avoidance afterward; results vary by depth |
| Microneedling | Tiny needles create controlled micro-injuries | May cause redness; multiple sessions often recommended |
| Laser treatments | Light energy for hair removal, skin concerns | Varies by skin type; requires trained operators |
| Injectables (Botox, fillers) | Injections to reduce wrinkles or add volume | Should be performed by licensed clinicians; results temporary |
| Hydrafacial | Device-based cleansing and hydration | Gentler than some treatments; good for maintenance |
Med spa treatments can produce more dramatic results than traditional spa services but also carry more risks. Ensure you understand the treatment, expected results, recovery, and potential side effects before proceeding.
How Nusu Helps You Compare Options
Nusu is built to make discovery clearer and more transparent for consumers. Here is what you can expect on the platform:
- Search by location and service type
- Compare presences using the details spas choose to share
- See reviews and ratings where available
- Merit-based rankings that are never sold to the highest bidder
- Ranking signals that include verification status, profile completeness, client feedback, relevance, and engagement
- A public overview of ranking principles at /platform/ranking
When to Seek Medical Care Instead
Spa services support relaxation and wellness but are not appropriate for medical conditions. Seek appropriate care when indicated.
| Situation | Consider |
|---|---|
| Severe skin reactions, infections, or open wounds | A dermatologist or clinician before spa treatments |
| Unexplained pain, swelling, or systemic symptoms | Medical evaluation before massage or body work |
| Active skin conditions (severe acne, rosacea flare, eczema) | Dermatology guidance on appropriate treatments |
| Pregnancy | Clinician clearance; many services have modifications or restrictions |
| Recent surgery or medical procedures | Medical clearance before spa services |
| Complications from med spa treatments | The treating clinician and potentially a physician |
Disclaimer
This guide is for educational purposes only and is not medical advice. Spa services are wellness experiences and should not replace evaluation, diagnosis, or treatment by qualified medical professionals. If you have skin conditions, health concerns, or are considering medical spa treatments, consult with appropriate professionals. The information provided reflects current knowledge as of the publication date and may not address all individual circumstances.