Arriving in Cusco is exciting — but the altitude can hit harder than most people expect. At 3,400 meters (11,150 ft), your body needs time to adjust.

What altitude sickness actually feels like

Most travelers experience mild symptoms within the first 24 hours. This can include headaches, shortness of breath, fatigue, and sometimes nausea.

It’s not dangerous in most cases — but it can definitely ruin your first day if you don’t prepare.

How to avoid altitude sickness in Cusco

• Take it slow on your first day
• Drink plenty of water
• Try coca tea (a local remedy used for centuries)
• Avoid alcohol the first night

Local advice (this matters)

One of the best ways to adapt is actually to walk slowly around the city instead of staying in bed all day. A relaxed walking tour helps your body adjust naturally.