In Tsiroanomandidy, a hotel must provide a specific number of high-end conveniences to earn 5 stars. These may include gourmet restaurants, saunas and spas, on-site gyms, premium bedding, complimentary luxury toiletries and more. What also sets 5-star hotels apart is their exceptional service. You'll enjoy things like in-room massages, concierge services and nightly turn-down services. Some may even offer thoughtful touches such as a welcome gift.