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Sanya currently has 15 sister cities and keeps friendly exchange relations with 16 others.
The list of 15 sister cities.
| Number | Intl friendly exchange cities | Countries | Date of Establishment |
| 1 |
Changwon | South Korea | May 2004 |
| 2 | Kamogawa |
Japan |
May 2004 |
| 3 | Bangalore | India | July 2016 |
| 4 | Pattaya | Thailand | August 2016 |
| 5 | Penang Island | Malaysia |
April 2017 |
| 6 | Batumi |
Georgia |
December 2021 |
| 7 | Gatineau |
Canada |
October 2003 |
| 8 | Hollywood | USA | July 2006 |
| 9 | Miami | USA | August 2015 |
| 10 | Las Vegas |
USA |
September 2018 |
| 11 | St.Johns | Antigua and Barbuda | September 2024 |
| 12 | Bad Kissingen | Germany | March 2007 |
| 13 | Casares | Spain | November 2008 |
| 14 | Senja Island | Norway |
August 2017 |
| 15 |
Villani |
Hungary | September 2020 |
| 16 |
Lida |
Belarus |
December 2021 |
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