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Altitude Sickness in Cusco: How to Acclimatize and Feel Good

By Condor Trek · Updated October 2026

Cusco is at 3,399 m (11,152 ft). Many travelers feel the altitude in their first 24 to 48 hours. With a little planning, it rarely ruins a trip.

Common symptoms

Headache, tiredness, light dizziness, trouble sleeping and a faster heartbeat. These are normal at first and usually fade in two or three days.

Warning signs

Severe headache that does not go away, vomiting, confusion, difficulty walking in a straight line or shortness of breath at rest. These need to be taken seriously: descend and seek medical help. Our guides carry oxygen and a first-aid kit on every trek.

How to acclimatize

  1. Arrive at least 2 days before any trek.
  2. Take it easy on day one: short walks, plenty of water, light meals.
  3. Avoid alcohol for the first night.
  4. Drink coca tea or mate: it is a local tradition and helps comfort.
  5. Ask your doctor about altitude medication before you travel.

Good first excursions

The Sacred Valley is lower than Cusco (around 2,800 m), so a Sacred Valley tour is a gentle start. After that, the Humantay Lagoon trek (4,200 m) is a great preparation for higher treks, and the Rainbow Mountain trek (5,000 m+) is better saved for later in your stay.

Ready for your trek?

We recommend at least two nights in Cusco before the Classic Inca Trail 4 days or the Salkantay Trek 4 days. send a booking request and we will plan an itinerary that acclimatizes you step by step.

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