First Days in Cusco: How to Plan Around the Altitude

Cusco sits at about 3,400 meters (11,150 feet) above sea level, so the first days of a trip to Peru are about adjusting. A little planning makes the difference between a tiring start and a great one. Here is the advice we give every traveler who lands with us.

Give yourself time to adjust

If you can, spend your first one or two days in Cusco taking it easy before any long hikes. Walk slowly, drink plenty of water and eat light meals. Many travelers also find that coca tea helps. A headache, light dizziness or trouble sleeping on the first night are common and usually fade as your body adapts.

Plan an easy first day

Use your first day for the historic center, the San Pedro market and a short visit to a nearby archaeological site such as Sacsayhuaman. Keep the big excursions, like Machu Picchu or Rainbow Mountain, for after you have slept at least a night or two at altitude. Lower altitudes help too: the Sacred Valley sits lower than Cusco, so some travelers start there before coming up to the city.

Choose the right season

The dry season runs roughly from May to September, with clear skies and cold nights. The rainy season runs from about November to March, with greener landscapes and fewer crowds. The classic Inca Trail closes every February for maintenance, so book early for the months around it.

Pack for changing weather

Days can be sunny and nights freezing on the same trip. Bring layers, a rain jacket, a hat, sunglasses and a high-factor sunscreen, because the sun is very strong at altitude.

• Comfortable, broken-in walking shoes or boots.
• Warm layers for mornings and evenings, plus a light rain jacket.
• A reusable water bottle and any personal medication.
• A small daypack, your passport and some cash in small bills.

Take care of yourself

Avoid heavy meals and too much alcohol during the first days, sleep well and stay hydrated. If you have a medical condition or are traveling with children or older adults, talk to your doctor before the trip about altitude. If symptoms become severe, tell your guide and seek medical help right away.

Our local guides know how to pace each day so you can enjoy it. When you are ready, see our Cusco and Machu Picchu packages or build your own trip.