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We are recognized in the Everest region as having the best acclimatisation program, the highest standard of attention to hygiene, and the most organised medical back-up system. The measures we take ensure that our trekkers are kept healthy and safe, an aspect on which we have built our reputation. Consequently nearly all of our trekkers reach their intended goal, the literal high-point of their adventure.


Trekking at altitude is definitely demanding, but not as physically tough as many people think. Our trips are attainable for most people who have a reasonable level of fitness.

We suggest you begin a fitness program at least 3 months before departure, and undertake regular activities such as walking, cycling, swimming or jogging. Walking up and down hills is great preparation.

If starting from a low base of fitness, begin with one-hour walks, and over a period of four weeks, build up to two to three hour walks over mixed terrain.

When trekkers arrive in Kathmandu they should be capable of walking for four hours over varied terrain without feeling unduly fatigued.

None of our treks ascend more than 800 metres in any one day, but of course the higher we go the more noticeable the altitude gain becomes. We walk at a very slow pace, and there is plenty of time during the day to cover our required distance. There is also ample time to rest.

Altitude conditioning in a pressurised chamber has become recently available. In our experience, people who have undertaken these programmes are no better conditioned for altitude than those who have not done so.

There is no doubt that the fitter you are prior to your trek the greater your chance of completing it comfortably. Get out there and get walking! 

Health & acclimatisation

Our health and safety record in the Khumbu is second to none, and we pride ourselves on the care we take of our trekkers. Over a long period we have had considerable experience dealing with every health eventuality, mostly with trekkers from other groups that we encounter along the way!

We carry a well-stocked first aid kit enabling us to deal with a full range of conditions, from stomach upset to tired muscles.

Trekkers are sometimes concerned about the likelihood of altitude sickness, more precisely known as AMS, or acute mountain sickness. AMS is a potential risk for trekkers, and is normally caused by a too rapid rate of altitude gain, or by dehydration. We minimize this risk by having a very conservative schedule for our treks with regular rest days, significantly improving acclimatisation. Our trekkers are encouraged/required to drink a minimum of four litres of water every day, eliminating the risk of dehydration.

As a result, even mild cases of AMS are rare on our treks, but when they do occur they can be easily treated with the medication that we carry.

Ascetozolimide (Diamox) is used for the prevention of AMS and some Doctors suggest trekkers take this as a preventative measure; you should discuss this with your own Doctor.

If you would like more detailed information on AMS then we suggest you refer to a comprehensive discussion on The Travel Doctor website.

Once you have paid the deposit for your trek, we request that you have a Medical Information Sheet completed by your Doctor and returned to us. You should not be concerned about us requiring this information; it is simply a precautionary part of our pre-trek process, and ensures a Doctor has considered any possible health impact in you trekking to a relatively high altitude; it also ensures any vaccination and medicinal requirements have been covered.

If you have any concerns whatsoever about the required level of fitness, general health issues, or acclimatisation, please don't hesitate to ring and discuss them with us; we have extensive experience in these areas, and we are always happy to share this with you.