Altitude Mountain Sickness (AMS) is a real consideration on any trek that crosses 4,000 m (13,120 ft). The Inca Trail reaches 4,215 m (13,830 ft) on day two, and even fit, healthy trekkers can experience symptoms. AMS does not discriminate by age or fitness level: it depends on how quickly your body adjusts to lower oxygen levels at altitude.
Common symptoms include persistent headache, nausea, loss of appetite, dizziness and disrupted sleep. Mild symptoms are normal during acclimatisation. Severe symptoms, particularly loss of coordination, confusion or difficulty breathing at rest, require immediate descent.
The single most effective precaution is arriving in Cusco at least two to three days before your trek begins. Use that time to move slowly, hydrate well, avoid alcohol, and take short walks to help your body adjust. The Sacred Valley, which sits around 400 m lower than Cusco, is an excellent place to spend the first day if you feel the altitude in the city. Our local guides will ask about your condition each morning and are trained in first aid. They carry oxygen cylinders and satellite communication equipment. If a trekker needs to descend, the team has protocols in place.
Practical habits on the trail: walk at a pace where you can hold a conversation, drink at least 3 litres of water per day, eat regularly even if your appetite is reduced, and tell your guide immediately if your symptoms are worsening rather than improving.
How long does the Inca Trail to Machu Picchu take?
The classic Inca Trail takes 4 days and 3 nights, covering 46 km (28.6 miles). A 5-day version covers the same distance at a gentler pace. A 2-day short version starts from km 104 and covers only the final 13 to 15 km, arriving at Machu Picchu on day two. Daily walking time ranges from 5 to 8 hours depending on the stage.
How fit do you have to be to do the Inca Trail?
You need a solid base of cardiovascular fitness and comfortable experience walking uphill for several hours. The trail covers up to 16 km (10 miles) a day on uneven stone steps, at altitudes between 2,600 m and 4,215 m (8,530 to 13,830 ft). Regular walkers and hikers who have trained for 8 to 12 weeks, including stair work and loaded day hikes, are generally well prepared.
Can a beginner hike the Inca Trail?
A beginner can complete the Inca Trail if they prepare properly. The 5-day slow version, with a maximum of 13 km on its hardest day, is the most accessible format. The 4-day classic requires more endurance. What matters most is consistent pre-trek training and arriving in Cusco several days early to acclimatise: fitness built at sea level does not fully transfer to 4,000 m (13,120 ft).
Can a 70 year old hike the Inca Trail?
Age is not a disqualifying factor, and trekkers in their 60s and 70s complete the Inca Trail each year. The keys are: pre-existing cardiovascular health, no contraindications to high-altitude exertion, several days of acclimatisation in Cusco before the trek, and choosing the 5-day version for a more gradual pace. Consult your GP before booking if you have any heart, lung or blood pressure concerns.
Where do you sleep on the Inca Trail?
You sleep in tents at designated campsites along the trail. On the 4-day classic route, the camps are Ayapata (night 1), Chaquicocha at 3,600 m / 11,810 ft (night 2) and Wiñay Wayna (night 3). Your porters set up the tents before you arrive. Bookatrekking provides sleeping bags and mats; no extra gear is needed. The Chaquicocha camp offers exceptional clear-sky stargazing.
Why is the Inca Trail so expensive?
The cost reflects several compulsory components: the government-issued permit (limited to roughly 200 tourist slots per day), mandatory licensed guide fees, porter wages and equipment, three cooked meals a day, camping gear, and the return train from Aguas Calientes. No self-guided option exists. When you divide the total cost across four days, including all accommodation, food, guiding and logistics in a high-altitude national park, it is competitive with guided alpine treks in Europe.
Is it safe to walk the Inca Trail?
Yes. The Inca Trail is well-regulated and consistently monitored by park rangers. The primary safety risks are altitude sickness and slips on wet stone steps, both of which are manageable with preparation and proper guiding. Bookatrekking's local guide teams are certified in first aid, carry oxygen and satellite communication equipment, and have evacuation protocols in place. Serious accidents on the trail are rare.
Which is harder, Kilimanjaro or the Inca Trail?
Kilimanjaro reaches a summit of 5,895 m (19,340 ft) and involves a single long summit night that pushes most climbers to their physical and mental limits. The Inca Trail peaks at 4,215 m (13,830 ft) and spreads its effort over four days of varied terrain. Most experienced trekkers rate Kilimanjaro as harder due to the extreme altitude and the summit push, while the Inca Trail is more technically sustained due to its constant stone stairways and back-to-back high-altitude days.
How often do people fall off the Inca Trail?
Serious falls are uncommon but do occur, typically on the steep stone descent from Dead Woman's Pass on day two and on wet steps during the rainy season. The trail has fixed ropes at the most exposed sections. Wearing good trekking boots with ankle support, using poles with rubber tips and descending slowly reduce the risk significantly. Your guide sets the pace for descents and will advise when to use the fixed ropes.
For everything you need to know about visiting the citadel itself, including opening hours, circuits, and what to see inside, read the complete Machu Picchu guide.