Only two spas in the Eastern U.S. made it onto Travel + Leisure's top 10 list of the world's best destination spas.

Canyon Ranch in Lenox, Mass., was No. 4 on the list and The Lodge At Woodloch in Hawley, Pa., was 10th.

Spas in Arizona, California, Mexico and Texas took the other spots, beginning with Mii amo, A Destination Spa At Enchantment, in Sedona, Ariz., in first place.

Maya Tulum Wellness Retreat & Spa in Mexico was second, followed by Miraval, Arizona Resort & Spa, in Tucson.

Lake Austin Spa Resort in Austin, Texas, took fifth place, followed by Rancho La Puerta Tecate in Mexico, Canyon Ranch in Tucson, the Golden Door in Escondido, Calif., and The Oaks at Ojai, in California.

The magazine's "World's Best" lists are based on results of a questionnaire made available online to Travel + Leisure readers. Respondents are permitted to complete the survey only once, and are screened in an effort to remove responses from travel industry professionals. More than 15,000 readers participated in the 2009 World's Best Awards survey. The spa list results are on http://www.travelandleisure.com/worldsbest/2009.