In Vatomandry, a hotel is required to offer a specific number of upscale conveniences to be designated 5 stars. These may include gourmet restaurants, on-site gyms, saunas and spas, premium bedding, complimentary luxury toiletries and more. What also sets 5-star hotels apart is their extraordinary service. You can expect things like concierge services, in-room massages and nightly turn-down services. Some may also offer additional touches like welcome gifts.