According to forum posts, Montecatini Terme is renowned for its spa culture, with several spas offering mineral baths and beauty treatments. Travelers have highlighted the Terme Tettuccio, where you can drink the mineral-rich water under medical guidance, and Grotta Giusti in nearby Monsummano Terme for swimming in a thermal water pool.

For those traveling with children, some users suggested taking the funicular for scenic views and visiting the Zoo Park in nearby Pistoia. Cooking classes are available and can be a fun family activity; however, it's recommended to confirm if they are suitable for children.

Many travelers use Montecatini Terme as a base to explore famous Tuscan cities like Pisa, Lucca, and Florence, which are accessible via short train rides. The town itself, including Montecatini Alto, offers a quaint experience with cafes and the funicular as points of interest.

For nightlife, while Montecatini Terme is described as not particularly vibrant, there are a number of bars and cafes where one can enjoy a relaxing evening.

According to forum posts, Montecatini Terme is accessible by train, with options such as taking a regional train from Florence after arriving on a high-speed train from major cities like Bologna. The journey involves transfers and takes about 2 to 2.5 hours. Some travelers have suggested using the Trenitalia website to check schedules and book tickets in advance for savings.

Some travelers have recommended renting a car as it provides flexibility, especially for early morning flights. The drive from Bologna to Montecatini Terme takes approximately 2.5 hours via the A11 Autostrada. Travelers are advised to be aware of limited traffic zones (ZTLs) which are common in Italian cities.

For those arriving at Pisa airport, taking a bus to the central train station and then a train to Montecatini Terme is suggested. Alternatively, private transfers like those booked through Mydaytrip.com have been used by travelers for a more comfortable and direct journey, with prices quoted around 250 euros.