Health, altitude and travel insurance

Why acclimatization matters: At high altitude, the air contains less oxygen. Many visitors feel short of breath, tired or have a slight headache on the first days. This is normal and usually improves after one or two days.

Arrive early: We recommend spending at least two days in Cusco or the Sacred Valley before your trek. Several of our tours start with sightseeing days that help you acclimatize.

Tips for the first days: Take it easy, walk at a relaxed pace, drink plenty of water and avoid alcohol and heavy meals. Coca tea, which is served everywhere in Cusco, can also help.

During the trek: Our guides know the signs of altitude sickness and set a pace that suits the group. They carry a first aid kit and emergency oxygen. If you feel unwell, please tell your guide immediately. If you have heart or lung conditions, please consult your doctor before the trip.

Vaccinations: Make sure your routine vaccinations are up to date. Vaccinations against hepatitis A and typhoid are often recommended. A yellow fever vaccination is recommended for trips to the Amazon region, but not for Cusco and Machu Picchu. Please get advice from your doctor or a travel medicine clinic in good time.

Travel insurance: We strongly recommend comprehensive travel insurance including medical treatment abroad, emergency evacuation and trip cancellation. Please check that hiking at altitudes of up to 5,000 m (16,400 ft) is covered.

Food and water: Do not drink tap water. On our treks, we provide boiled and filtered drinking water; in towns, bottled water is available everywhere.