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Sanya currently has 14 sister cities and keeps friendly exchange relations with seven others. In addition, there are nine cities that have intentions to establish sister cities relationship with Sanya.
The list of 14 sisters cities.
| Number | Intl friendly exchange cities | Countries | Date of Establishment |
| 1 |
Changwon | South Korea | May 2004 |
| 2 | Gatineau | Canada | October 2003 |
| 3 | Kamogawa | Japan | May 2004 |
| 4 | Hollywood | USA | July 2006 |
| 5 | Bad Kissingen | Germany | March 2007 |
| 6 | Casares | Spain | November 2008 |
| 7 | Miami | USA | August 2015 |
The list of nine friendly-intention cities.
| Number | Friendly-intention cities | Countries | Date of Establishment |
| 1 | Pattaya | Thailand | August 2016 |
| 2 | Penang Island | Malaysia | April 2017 |
| 3 | Senja Island | Norway | August 2017 |
| 4 | Putrajaya | Malaysia | September 2017 |
| 5 | Las Vegas | USA | September 2018 |
| 6 | Villani | Hungary | September 2020 |
| 7 | Lida | Belarus | December 2021 |
| 8 | Punta del Este | Uruguay | December 2021 |
| 9 | Batumi | Georgia | December 2021 |
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