Provided you are healthy and take regular exercise then the answer is yes. All of our trips require a good level of fitness but you do not have to be an olympic athlete or have trekked at high altitude before. People do walk at different paces and all of our trips allow for this. You will never be holding people back! We have a very flexible approach when we trek and this allows us to break up into smaller groups if required and yet maintain our leader/client ratios to maintain our high level of safety that we insist upon. We do advise a fitness programme prior to any trek and we would suggest at least 2 months of regular exercise such as cardiovascular routines such as cycling,running,rowing machine,swimming etc.

Our treks are designed to allow gradual height gain, spread over a number of days. There is no way of predicting who will suffer from altitude, but for the vast majority, the slow ascent to height of our treks will produce minimal effects. On a few high-altitude treks we carry a ‘Gamow Bag’ as a precautionary measure. Upon arrival in Kathmandu we provide a short but very informative presentation on altitude to all participating on our treks. Many people feel that by using Diamox this will prevent the onset of altitude sickness but this is not the case. We simply advise slow gradual ascent and walk up to a high point then sleep low. This is an effective method and works for the vast majority of people.

You will need to consult your doctor at least 6 weeks prior to departure, to work out an immunisation schedule relevant to your destination country. The following should be used as a guideline only:- Polio Within 10 years. Tetanus Within 10 years. Typhoid Three different immunisations are available. Intravenous Vi (single dose) and the older typhoid vaccine (2 doses) both last 3 years. Oral typhoid capsules require boosting annually. Hepatitis A The older immunisation is gammaglobulin. For regular or long-term travellers a new vaccine, Havrix (given as a course of 2 doses one month apart) gives long term protection. Malaria We advise that you consult your doctor or local travel clinic regarding malaria prophylactics. Meningitis Within the past 3 years.

The following may be considered optional, but some are difficult or expensive to obtain. Your doctor will let you know if they are appropriate:- Rabies If you take sensible precautions to avoid animals there is a very low risk. If you do wish to be covered you should have had the vaccine within the last 2 years. Hepatitis B There is only a very low risk as transmission is only through sexual contact or exposure to contaminated blood, needles and syringes. Cholera There is a moderate/low risk only and the vaccine is not completely effective (60% protection only) and protection is short-lived (3-6 months only). Doctors do not normally recommend it. T.B. Children should be immunised at any age - less important for adults. A skin (Heaf) test is available if in doubt about immune status.