Nepal Visa Requirements 2026: Fees, Forms and Who Can Get a Visa on Arrival
Home / Nepal Visa Requirements 2026: Fees, Forms and Who Can Get a Visa on Arrival

Nepal Visa Requirements 2026: Fees, Forms and Who Can Get a Visa on Arrival

 

Visa rules can change. Please open the official links in this guide before you travel.

 


 

Almost every visitor to Nepal needs a tourist visa. The main exception are citizens of India. Most travellers can get the visa when they arrive at Kathmandu airport or at an official land border, or they can apply online before they fly. A tourist visa costs US$30 for 15 days, US$50 for 30 days or US$125 for 90 days. In total, you can stay up to 150 days in one visa year (January to December).

 

This guide explains who needs a visa, what to bring, what it costs, where the official forms are, who gets a free visa and what to do if you need more time. It uses information from Nepal's Department of Immigration, the Nepal Tourism Board and the US State Department. Where these sources do not agree, we tell you.

 


 

Nepal visa quick facts

 

Question

Short answer

Do I need a visa?

Yes, unless you are a citizen of India.

Where can I get one?

On arrival at listed airports and land borders, online before you travel, or from a Nepali embassy or consulate.

What does it cost?

US$30 (15 days), US$50 (30 days), US$125 (90 days).

How long can I stay in total?

Up to 150 days in one visa year (January to December), including extensions.

Passport rules

At least 6 months of validity after your arrival date, with a blank page for the visa stamp.

How much is an extension?

US$45 for the minimum 15 days, then US$3 for each extra day.

Fine for staying late

US$5 per day.

Who gets a free visa?

Children under 10 (not US citizens), first-time SAARC visitors for up to 30 days, Chinese nationals, and NRN card holders.

Who cannot get a visa on arrival?

Citizens of 13 countries, and people travelling on refugee travel documents. See the list below.

 


 

Who needs a visa to enter Nepal?

 

Every foreign visitor needs a tourist visa to enter Nepal, except citizens of India. This applies if you come to trek, climb, visit family, or just stay a few days.

 

If you come for another reason, such as study or work, you still enter on a tourist visa first. After you arrive, you ask the Department of Immigration to change your visa category. There is more on this in the section on other visa types.

 


 

Three ways to get a Nepal tourist visa

 

1. Visa on arrival

Most visitors use this route. You can get a visa on arrival at Tribhuvan International Airport in Kathmandu, Pokhara International Airport, Gautam Buddha International Airport in Lumbini, and Nepal's land border entry points. Check which airport your flight lands at before you travel.

 

You fill in a form, pay the fee, and an immigration officer issues the visa. You can complete the form online before you travel and bring the printed receipt, or complete it at the airport. The steps are explained below.

 

2. Online visa (ETA or eVisa)

In 2026, the Department of Immigration added an online option called the Electronic Travel Authorisation (ETA), also called an eVisa. You apply on the official website, upload your passport and photo, pay the fee online, and receive the approved visa by email. You then print it and carry it with you.

 

This system is new. A travel news site reported that a Department of Immigration spokesperson gave 17 August 2026 as the date for the full launch, and the Department's website now has a page for the ETA and eVisa. Reports differ on how long approval takes and on what you must show at the airport. We could not confirm one fixed approval time. Read the instructions on the official page, and apply early.

 

3. Visa from a Nepali embassy or consulate

You can also get a tourist visa before you travel from a Nepali embassy or consulate. If you do, you must enter Nepal within six months of the day the visa was issued. Your stay is counted from the day you enter Nepal, not the day the visa was issued. Citizens of the countries in the restricted list below must use this route.

 


 

Nepal tourist visa fees in 2026

 

Visa length

Fee

15 days

US$30

30 days

US$50

90 days

US$125

 

These fees are set by the Department of Immigration. You can pay in US dollars or another convertible currency. The Nepal Tourism Board says international credit cards are accepted, and the US State Department says cards may be accepted at the airport. Card machines can fail, so bring enough US dollars in cash as a backup. If you arrive by land, see the border section below for the cash rules that apply to US citizens.

 

Children under 10 and some other groups get a free visa. See the section on free visas.

 

Is the Nepal tourist visa multiple-entry?

The Nepal Tourism Board says tourist visas issued at entry points have a multiple re-entry facility, and it lists the 15, 30 and 90-day fees as multiple-entry. However, the Department of Immigration's fee table also has a separate line for an extra US$25 for multiple re-entry under tourist visas. If you plan to leave Nepal and come back during your trip, for example for a side trip to India or Bhutan, ask the officer to confirm that your visa is multiple-entry before you pay.

 

Which visa length should you choose?

Plan for delays. The US State Department says bad weather often disrupts domestic flights in Nepal, and it advises leaving extra time before an international flight. A visa that ends close to your departure day leaves you no room.

 

Extending a visa costs more per day than buying a longer visa at the start, and it means a visit to an immigration office. This table compares total costs for some example stays, using the official fees.

Planned stay

Cheapest option

Total cost

15 days or less

15-day visa

US$30

30 days

30-day visa

US$50

(15-day visa plus a 15-day extension would be US$75)

45 days

30-day visa plus a 15-day extension

US$95

60 days

90-day visa

US$125

(30-day visa plus a 30-day extension would be US$140)

90 days

90-day visa

US$125

 

If your trip might run past 30 days, the 90-day visa is often the easier choice. You pay one fee and you do not need to go to the immigration office for an extension.

 


 

What to bring

•       Passport. It must be valid for at least 6 months after your arrival date. Keep a blank page free for the visa stamp.

•       Passport-size photo with a light background. The Nepal Tourism Board lists this as part of the visa requirements. The online form asks for a digital photo.

•       Completed visa form. This is either your printed online receipt or the form you complete at the airport.

•       Visa fee in US dollars or another convertible currency. Bring cash as well as a card.

•       Travel details. The online form asks for your travel information and an address where you will stay in Nepal.

•       Cash declaration, if needed. If you carry more than US$5,000 into or out of Nepal, you must declare it on a customs form.

 

Travel insurance is not listed as a visa document in the sources we checked. The US State Department strongly recommends it, with cover for medical evacuation, if you plan to trek or climb.

 


 

Application forms and official links

 

Apply only through official government websites. The Department of Immigration sets the visa fee, so you do not need to pay anyone else to submit a form for you.

What

Link

Use it for

NepaliPort (online visa services)

nepaliport.immigration.gov.np

The official online tourist visa form and other visa services. The Department says foreigners can apply for visas here.

ETA / eVisa page

immigration.gov.np/eta-visa-nepal

The Department of Immigration page that explains the online ETA and eVisa.

Department of Immigration

immigration.gov.np

Official notices, visa information and contact details.

Visa fees and documents

Department fee table

Fees and required documents for tourist and other visa types.

Countries without visa on arrival

Department notice

The official list of nationalities that cannot get a visa on arrival.

Nepal Tourism Board

Tourist visa page

A plain summary of visa rules for tourists.

Ministry of Foreign Affairs

mofa.gov.np

Find a Nepali embassy or consulate in your country.

US State Department

Nepal travel page

Entry rules, advisories and tips for US travellers. Useful for other nationalities too.

 

 

How visa on arrival works at Kathmandu airport

1.      Fill in the form. Complete the online form before you fly and print the receipt, or complete the form at the airport.

2.      Pay the fee. Pay at the payment counter and keep the receipt.

3.      Go to the immigration desk. Give the officer your passport, your form receipt and your payment receipt.

4.      Collect your passport. The officer issues the visa and your passport is stamped.

 

The US State Department warns that getting a visa on arrival may take several hours. Travel guides report that queues are longest in the main trekking seasons, in spring and autumn. If you fill in the online form before you fly, several guides say the receipt is valid for only 15 days, so do not complete it too early.

 


 

Visa on arrival at land borders

 

You need a visa to enter Nepal by land too. The US State Department notes that officials at some crossings do not stop every foreign visitor. If you do not get an entry stamp from an immigration officer, you may not be allowed to leave Nepal later and may face other problems. Find the immigration office and complete the process, even if nobody asks you to.

 

The State Department lists these land border points where you can buy a tourist visa on arrival. Immigration offices at official land crossings are open 24 hours.

•       Kakarvitta, Jhapa District (east)

•       Biratnagar, Morang District (south-east)

•       Birgunj, Parsa District (central)

•       Belahiya, Bhairahawa, Rupandehi District (south)

•       Gadda Chauki, Mahendranagar, Kanchanpur District (west)

•       Timure, Rasuwa District (north border)

 

US citizens must pay land border visa fees in US cash. Cards and other currencies are not accepted. Bills must be dated 2003 or later and be in good condition, with no tears or heavy wear. Other travellers should also carry clean US dollars in cash.

 

Important: As of the US State Department advisory dated 4 September 2026, travellers are told not to go to the Rasuwagadhi-Timure-Syafrubesi area of Rasuwa District, including the Nepal-China border crossing, after a major flash flood and landslide on 26 August 2026. Check current conditions before planning a route through this area.

 


 

Who gets a free (gratis) visa?

 

Group

What you get

Children under 10

Free visa for all nationalities except US citizens.

SAARC citizens (except Afghanistan)

Free visa for up to 30 days on a first visit in a visa year. Travel guides list Bangladesh, Bhutan, the Maldives, Pakistan and Sri Lanka. A second visit in the same visa year is not covered.

Chinese nationals

Free tourist visa for up to 150 days in a visa year.

Non-Resident Nepali (NRN) card holders

Free visa. The card is issued by the Ministry of Foreign Affairs or Nepali missions abroad.

Afghan citizens

Free visa on arrival only if the Department of Immigration recommends it.

Diplomatic and official passport holders

The Department lists a free 30-day entry visa for diplomatic and official visits, with the right paperwork from the diplomatic mission.

 

A free visa still needs a form. You complete the same process, but the fee is zero. The "visa year" runs from January to December, so a first visit in December and another in January fall in different visa years.

 


 

Indian citizens

 

Citizens of India do not need a visa to enter Nepal. You must carry one of these as proof of identity when you enter and leave:

•       A valid Indian passport

•       An Election Commission of India voter card

•       For travellers over 65: a PAN card, driving licence or ration card that shows a photo and age

•       For travellers under 18: an identity card issued by the school principal

 

The Nepal Tourism Board says the Aadhaar (UID) card is not accepted as a travel document. A Certificate of Registration from the Embassy of India in Kathmandu is also not accepted.

 


 

Countries that cannot get a visa on arrival

 

The Nepal Tourism Board lists the nationalities below as having no visa on arrival. People from these countries must get a visa from a Nepali embassy or consulate before they travel. Iran was added on 13 March 2026, which raised the total to 13 countries. People travelling on refugee travel documents must also get a visa in advance.

Africa

Middle East

Asia

Cameroon

Eswatini (Swaziland)

Ethiopia

Ghana

Liberia

Nigeria

Somalia

Zimbabwe

Iran

Iraq

Palestine

Syria

Afghanistan

 

News reports on the Iran decision say holders of government and diplomatic passports are treated differently. If you hold an official or diplomatic passport, ask the nearest Nepali embassy what applies to you. Because this list has changed before, check the Department of Immigration notice before you book.

 


 

How to extend your Nepal tourist visa

 

You can extend a tourist visa inside Nepal. The Nepal Tourism Board names the Department of Immigration in Kathmandu (Kalikasthan) and the immigration office in Pokhara. The US State Department adds that offices in Kakarvitta, Birgunj and Belahiya can also extend tourist visas, but only the Kathmandu office can extend every visa type.

•       Minimum extension: 15 days, for US$45.

•       Each extra day after that: US$3.

•       Maximum total stay: 150 days in one visa year (January to December), counting your first visa and all extensions.

•       How to pay: at the Department of Immigration in cash, in Nepali rupees or US dollars, according to the US State Department.

 

Example: You have a 30-day visa and want 20 more days. You pay US$45 for the first 15 days, plus 5 extra days at US$3, which is US$15. The total is US$60.

 

Bring your passport and your current visa, and ask the office what other papers it needs. Some guides say the extension form is filled in on the NepaliPort website first, so check the portal before you go.

 

Extend before your visa ends. The immigration office at Tribhuvan International Airport cannot extend visas. The US State Department says travellers who reach the airport with an expired visa are sent to the Kathmandu office to pay, and this can take a couple of days. Government offices close on public holidays, so plan ahead.

 


 

What happens if you overstay?

 

If you stay after your visa ends, you pay a late fine of US$5 per day, on top of the extension fee. The US State Department says that staying after your visa expires can lead to large fines, arrest and a ban on returning, and that staying more than 150 days on a tourist visa can lead to deportation. A person who is deported must travel straight to their home country at their own cost.

 

One more rule: if you replace your passport in Kathmandu, go to the Department of Immigration to move your visa into the new passport. Do not transfer it yourself. The State Department says doing so is a crime in Nepal.

 



Other visa types

 

The tourist visa is the only entry visa. If you plan to work, study, invest or live in Nepal, you enter on a tourist visa and then apply to change the category. The US State Department advises starting at least two months before your tourist visa ends, and says non-tourist visas can take months.

 

Working or volunteering on a tourist visa is not allowed. The Department of Immigration treats volunteering as work. The US State Department says volunteering on a tourist visa can lead to detention, fines, expulsion and a long ban on returning.

Visa type

Who it is for

Fee listed by the Department

Transit visa

Passengers changing flights in Nepal, up to 24 hours. Proof of transit, such as an air ticket, is needed.

US$5

Work visa

Foreign nationals with a job in Nepal. Needs a recommendation, a labour permit and a work agreement.

US$30, US$50 or US$75 per month, depending on the employer

Study visa

Students and researchers. Needs a recommendation from the Ministry of Education.

From US$30 per month (degree students). US$75 per month (non-degree)

Business visa

Investors and business owners.

US$35 per month, US$400 per year or US$1,000 for five years for smaller investments. Lower fees apply to investments over NPR 100 million

Marriage visa

Foreigners married to Nepali citizens.

US$15 per month

Relation visa

Foreigners with a direct relation, or a relation by marriage, to Nepali citizens.

US$10 per month (direct relation). US$25 per month (relation by marriage)

Press visa

Journalists and press representatives.

US$15 per month

NRN visa

Non-Resident Nepali card holders.

Free

Tourist reciprocity visa (US citizens)

A 5-year visa with up to 180 days of stay per year. Needs a bank statement showing at least US$10,000, a health insurance certificate and a police report.

US$160

Fees from the Department of Immigration fee table, last updated 2 January 2026. Single and multiple re-entry add-ons (US$20 and US$60) apply to most non-tourist visas. Check the Department before you apply.

 



A visa is not a trekking or climbing permit

 

Your visa lets you enter and stay in Nepal. It does not let you enter a national park or a restricted area. The US State Department says some remote areas and national parks need extra permits and fees, and that foreign trekkers must hire a licensed local guide in national parks and protected areas.

 

Climbing and expedition trips usually have their own permits too. Your trekking or climbing company can tell you which permits apply to your route and when to arrange them.

 


 

Common mistakes that cause trouble

•       Passport with less than 6 months left. Check the expiry date before you book flights.

•       A visa that is too short. Weather delays are common. Choose a few spare days.

•       Relying only on a card. Card machines can fail. Carry US dollars in cash.

•       Skipping the stamp at a land border. You may have trouble when you try to leave Nepal.

•       Torn or old US notes at a land border. US citizens need bills dated 2003 or later in good condition.

•       Waiting until the visa expires to extend. The airport cannot extend it for you.

•       Filling in the online arrival form too early. Guides say the receipt is valid for 15 days.

•       Working or volunteering on a tourist visa. This is not allowed.

 



Frequently asked questions

 

Do I need a visa to visit Nepal?

Yes, unless you are a citizen of India. All other foreign visitors need a tourist visa. You can get it on arrival, online, or from a Nepali embassy or consulate.

 

How much does a Nepal visa cost in 2026?

The tourist visa costs US$30 for 15 days, US$50 for 30 days and US$125 for 90 days. Children under 10 (except US citizens) and some other groups get a free visa.

 

Can I get a Nepal visa on arrival?

Yes, at Kathmandu airport, the other airports named by the Nepal Tourism Board, and official land border points. Citizens of 13 countries and people with refugee travel documents cannot. They must get a visa from a Nepali embassy first.

 

Can I apply for a Nepal visa online?

Yes. Use the official NepaliPort site or the Department of Immigration's ETA and eVisa page. You can also fill in the visa-on-arrival form online and bring the printed receipt.

 

How long can I stay in Nepal on a tourist visa?

Up to 150 days in one visa year (January to December). This includes your first visa and any extensions.

 

How do I extend my Nepal visa?

Go to the Department of Immigration in Kalikasthan, Kathmandu, or the Pokhara immigration office before your visa ends. The minimum extension is 15 days for US$45, then US$3 for each extra day.

 

What is the fine for overstaying?

The late fine is US$5 per day on top of the extension fee. Long overstays can lead to arrest, deportation and a ban on returning, according to the US State Department.

 

Is the Nepal tourist visa multiple-entry?

The Nepal Tourism Board lists the 15, 30 and 90-day tourist visas as multiple-entry. The Department of Immigration fee table also mentions an extra US$25 for multiple re-entry, so ask the officer to confirm before you pay if you plan to leave and return.

 

Does a tourist visa cover trekking or climbing?

No. The visa covers entry and stay only. National parks, restricted areas and climbing routes can need separate permits. Ask your trekking or climbing company which ones you need.

 

Do I need a visa if I am only changing flights in Nepal?

Nepal has a transit visa for up to 24 hours, listed at US$5. You need proof of transit, such as an air ticket. Check with your airline or the Department of Immigration whether your connection needs one.

 

Can I work or volunteer on a tourist visa?

No. Nepal treats volunteering as work. You need the right non-tourist visa first.

 



Before you travel

 

Do three checks before you book. Make sure your passport has at least 6 months left after your arrival day. Choose a visa length with a few spare days. Use only the official government sites for forms and payments.

 

Alpinist Climber Expeditions is based in Nepal and has operated since 2021, running high-altitude mountaineering expeditions and trekking in the Nepal Himalaya. If you are planning a trek or a climb and want to talk through your dates or route, you can reach us through our website, alpinistclimberexpeditions.com.

 

This guide is general information, not legal or immigration advice. Always confirm current rules with the Department of Immigration or the nearest Nepali embassy or consulate.

 


 

Sources

•       Nepal Tourism Board: Tourist Visa

•       Department of Immigration, Nepal: Visa Fee and Documents

•       Department of Immigration, Nepal: Online visa services (NepaliPort)

•       Department of Immigration, Nepal: ETA / eVisa

•       Department of Immigration, Nepal: Prohibition to Visa on Arrival

•       US State Department: Nepal travel advisory and entry requirements

•       The Himalayan Times: Nepal govt stops providing on-arrival visas to Iranian nationals, 13 March 2026

•       The Kathmandu Post: Nepal stops on-arrival visas for Iranians, 14 March 2026

•       VisasNews: Nepal to fully roll out its e-Visa system on August 17, 2026

 

 


 

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The team carries its shelter and moves up together. A series of camps built up the mountain, with supplies moved in stages Fixed ropes Not used Often fixed on steep or exposed ground Porters and support above base camp None Often used, especially on the highest peaks Time on the mountain Shorter. One push once the team is ready. Longer. Big peaks can take weeks, sometimes months. Acclimatisation Done before the main climb, so the team arrives on the route acclimatised Built up gradually by moving between camps Supplementary oxygen Usually not used Sometimes used on the highest peaks Room to retreat Less. No camps or fixed ropes to fall back on. More. Camps and ropes give shelter and a way down. Footprint on the mountain Lighter Heavier, because of the logistics Where it fits best Technical peaks where speed and self-reliance matter The highest peaks, where size, altitude and weather call for more time and support   Neither style is better in every case. 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If you are not sure where you stand, tell us your experience and we will suggest a sensible next step.     Risks to understand before you commit   Alpine style has less margin for error. Without fixed ropes or stocked camps, a team that meets a storm or an injury cannot simply sit it out or descend a prepared line. In remote mountain ranges, rescue can take a long time, and sometimes self-rescue is the only practical option.   Expedition style has its own risks, including long exposure to altitude and hazards such as avalanches and falling ice. No company can guarantee summit success, good weather or safety. What a good team can do is prepare carefully, match the objective to the climbers, and be ready to turn back.   IFMGA Prakash Sherpa Climbng Mt. Malangphulang in Alpine Style     Alpine style and mountaineering expeditions with Alpinist Climber Expeditions   Alpinist Climber Expeditions (ACE) is a Nepal-based company that has run high-altitude expeditions in the Himalayas since 2021. We offer two kinds of trips: alpine style expeditions and high-altitude mountaineering expeditions on peaks of 6,000 m, 7,000 m and 8,000 m. Our expeditions are led by IFMGA-certified guides and experienced climbing Sherpas.   We are one of the first companies to offer dedicated alpine style expeditions in Nepal. On these trips, climbers move self-sufficiently and carry their own gear, without fixed ropes, high-altitude porters or multiple stocked camps. Our alpine style packages are Kyajo Ri (6,186 m), Cholatse (6,440 m) and Malangphulang (6,573 m).   Our founder, Prakash Sherpa, is an IFMGA mountain guide who has worked as a professional guide since 2011. IFMGA certification means a guide has trained to a common international standard in four areas: mountaineering, ski touring, rock climbing and ice climbing. Prakash has climbed Everest and K2, as well as technical Himalayan peaks such as Ama Dablam, Pumori and Nuptse, and has guided alpine style climbs on Kyajo Ri and Cholatse. His full climbing record is on his profile page.   If you are looking for a company for an alpine style climb in Nepal, we believe ACE is the best choice. You can read what past climbers say on our testimonials page. To plan your own climb, send us your experience and goals through our contact page, and we will suggest an expedition that fits.     Frequently asked questions   What is an alpinist? An alpinist is a climber who practises alpinism. That means climbing mountains with a mix of rock, snow, ice and glacier skills, often in a light and self-reliant style. The word comes from the Alps, where this type of climbing began.   What is the difference between alpinism and mountaineering? Mountaineering is the wider term for climbing mountains, from simple snow walks to hard technical ascents. Alpinism usually refers to the technical end, where climbers need rock, ice and glacier skills together. Alpine climbing is generally seen as one type of mountaineering, though climbers do not all draw the line in the same place.   What is alpine style climbing? Alpine style is a light, fast way of climbing. A small team carries all its food, shelter and gear and climbs from base to summit without fixed ropes, high-altitude porters or stocked camps. Support up to base camp is generally accepted.   What is the difference between alpine style and expedition style? In expedition style, a larger team builds a series of camps, moves supplies up in stages and often fixes ropes. It takes longer but gives more backup. In alpine style, the team goes light and climbs in one push. It is quicker, but leaves less room to retreat or wait out bad weather.   Is alpine style more dangerous than expedition style? The risks are different. Alpine style has less margin for error because there are no fixed ropes or stocked camps to fall back on. Expedition style means longer exposure to altitude and mountain hazards. The risk on any climb depends on the peak, the route, the conditions and the skill of the team.   Can you climb 8,000 m peaks in alpine style? Yes, but it is rare and very demanding. The first alpine style ascent of an 8,000 m peak is usually dated to 1975, on Gasherbrum I. Expedition style is still the usual approach on the 8,000 m peaks.   Can I climb alpine style with a guide? Yes. On a guided alpine style climb, a qualified guide leads and makes the safety decisions while the team climbs in the alpine style. Details differ between companies, so ask what support is used and where. ACE alpine style expeditions are led by IFMGA-certified guides and experienced climbing Sherpas.   Do I need technical climbing experience for alpine style? In general, yes. Alpine style asks climbers to be comfortable on rock, ice and glaciers and to look after themselves with little backup. Requirements differ by peak. Send us your experience and we will tell you which of our expeditions fit.   Does ACE offer alpine style expeditions in Nepal? Yes. ACE has offered dedicated alpine style expeditions since 2021. Our alpine style packages are Kyajo Ri, Cholatse and Malangphulang. You can see them on our alpine style expedition page.    

Oct 28, 2026 Read More →
Acclimatization Guide: How to Acclimatize Safely at High Altitude
Expedition Journal

Acclimatization Guide: How to Acclimatize Safely at High Altitude

  Acclimatization is the process your body goes through to adjust to the thinner air at high altitude. You help it along by climbing slowly, taking rest days, and paying attention to how you feel. The first adjustment at a new height usually takes one to three days. There is no way to rush it, and being fit does not replace it.   This guide explains what acclimatization is, what changes inside your body, how long it takes, and the habits that make a real difference on a Himalayan trek or climb. It also covers the warning signs of altitude sickness and what to do about them. It is general information, not medical advice. Talk to your own doctor before a high-altitude trip.   Key facts at a glance •     Altitude illness is linked with travel above about 2,500 m (8,200 ft). It can sometimes happen lower. •     Above 3,000 m (9,800 ft), medical guidelines say to raise your sleeping height by no more than 500 m (1,600 ft) per day. •     Take one extra night at the same height for every 1,000 m (3,300 ft) of sleeping height you gain. •     The height where you sleep matters more than the highest point you reach during the day. •     With mild symptoms, do not go higher until they ease. If symptoms get worse, go down. •     Fitness, age and past trips do not reliably protect you.     What is acclimatization?   Acclimatization is your body’s gradual adjustment to a new environment. At high altitude, that means air that gives you less oxygen with every breath. Over days and weeks, your body changes how it breathes, how your blood carries oxygen, and how your tissues use it. The change is temporary. If you go back to low ground and stay there, it fades.   It is also different from adaptation. Adaptation is a change in a whole population over many generations. Acclimatization happens inside one person’s lifetime and is not passed on to children.   Acclimatize, acclimatization and acclimation: what is the difference?   “Acclimatize” is the verb, as in “give your body time to acclimatize”. “Acclimatization” is the noun for the process. In British English you will often see it spelled “acclimatisation”. The meaning is the same.   “Acclimation” is a close cousin. Some scientists use it for a response to a single change, such as temperature, usually in a laboratory. They use “acclimatization” for adjustment to a real, natural environment where many things change at once. Some dictionaries treat the two words as the same. For trekkers and climbers, “acclimatization” is the word to use. It is also the word you will find in medical guidelines and on trek itineraries.     Why does high altitude affect your body?   The air at high altitude has the same share of oxygen as air at sea level, about 21%. What changes is air pressure. Lower pressure means fewer oxygen molecules in each breath. At around 3,650 m (12,000 ft), a breath holds more than a third fewer oxygen molecules than at sea level. Altitude Relative Oxygen Availability (% of Sea-Level Value) Sea level 100% 1,000 m / 3,281 ft 88% 2,500 m / 8,202 ft 73% 3,000 m / 9,843 ft 68% 3,500 m / 11,483 ft 64% 4,000m / 13,123 ft 60% 4,500 m / 14,764 ft 57% 5,000 m / 18,044 ft 53% 5,500 m / 18,044 ft 50% 6,000 m / 19,685 ft 47% 6,500 m / 21,320 ft 44% 7,000 m / 22,966 ft 41% 8,000 m / 26,247 ft 36% 8,848 m / 29,028 ft 33%   As altitude increases, atmospheric pressure decreases, so each breath delivers fewer oxygen molecules to your lungs. This makes it harder for your body to get the oxygen it needs, even though oxygen still makes up about 21% of the air. At extreme elevations, such as those encountered during Himalayan mountaineering, the reduced oxygen availability makes proper acclimatization essential.   Your body still needs the same amount of oxygen to walk, think and digest food. So it has to work harder to get it. At high altitude, fluid can also leak out of small blood vessels in some people. When that fluid collects in the lungs or the brain, it causes the most dangerous forms of altitude illness. They are covered later in this guide.     What changes in your body as you acclimatize?   When What happens Minutes to hours You breathe faster and deeper, and your heart beats faster. This brings in more oxygen. The first day or two Your kidneys release more of a hormone called erythropoietin (EPO). EPO tells your body to make more red blood cells. The fluid part of your blood (plasma) also shrinks, so your blood becomes more concentrated. Days to weeks Your body keeps building red blood cells, and the levels of hemoglobin rise. Hemoglobin is the protein in red blood cells that carries oxygen. The full gains in breathing and hemoglobin take weeks.   These changes help a lot, but they do not bring your oxygen levels back to what they are at sea level. There is also a limit. Above about 5,600 m (18,400 ft), most people cannot fully acclimatize, and a long stay at that height can harm health.     How long does acclimatization take?   It depends on the height and on the person. As a general guide, the first adjustment to a given height takes about one to three days. If you then go higher, the process starts again at the new height. Deeper changes, such as a higher red blood cell count, need weeks.   People adjust at different speeds. Two people on the same trek can feel very different on the same day. A group should move at the pace of the person who is adjusting more slowly.     How to acclimatize safely: 10 habits that matter   These habits follow medical guidelines for altitude travel, including those of the Wilderness Medical Society (WMS) and the US CDC Yellow Book. 1.      Count your sleeping height, not your daytime height. Your risk depends more on where you sleep than on the highest point you reach in a day. When you read or compare an itinerary, look at the sleeping height for each night. 2.      Keep the climb gentle above 3,000 m. Once you are above 3,000 m (9,800 ft), raise your sleeping height by no more than 500 m (1,600 ft) a day. Some guidance suggests 300 to 500 m a day for extra care. 3.      Add a rest night every 1,000 m. For every 1,000 m (3,300 ft) you gain in sleeping height, spend one extra night at the same height. A rest day is not a day in bed. Easy walking is fine. The key point is that you do not sleep higher. 4.      Start slowly. Guidelines advise against going from low ground straight to a sleeping height above about 2,750 m (9,000 ft) in one day. A flight to a high airstrip such as Lukla, at roughly 2,800 m, puts you near that level within hours. If you fly or drive to height, keep the first 24 hours easy and do not go higher. 5.      Climb high, sleep low. Climbers use this saying. During the day you can go higher than where you will sleep, for example on a hike above your rest-day village. Then you come back down to sleep. It lets your body meet a higher level without the strain of sleeping there. 6.      Do not go up with symptoms. If you have mild altitude sickness, stay at the same height until you feel better. If symptoms get worse, go down. 7.      Avoid alcohol and sleeping pills. Alcohol and sedatives, such as sleeping tablets, slow your breathing during sleep, when you already breathe less. Smoking adds to the load on your body. Skip all three while you gain height. 8.      Drink and eat regularly. Dry air and fast breathing make you lose water, so drink often and keep your urine pale. Drinking far more than you need does not protect you and can cause problems of its own. Your appetite may drop at height, but your body still needs fuel. Carbohydrate-rich foods are a common and sensible choice. 9.      Move at an easy pace. Heavy effort when you first arrive at a new height does not help. Light activity during the day is better than sleeping, because your breathing slows when you sleep. 10.   Tell your guide early. Mention headache, nausea or poor sleep as soon as you notice them. Small problems are easier to handle early. Do not hide symptoms to keep to the schedule.     A worked example of the 500 m rule   This example only shows the arithmetic. It is not a route plan, and real itineraries depend on where the villages and camps are. Night Sleeping height Gain Note 1 3,000 m — Start of the high section. 2 3,500 m +500 m Within the 500 m limit. 3 4,000 m +500 m You have now gained 1,000 m in sleeping height. 4 4,000 m 0 m Rest night. Easy walking or a short hike higher, then back down to sleep. 5 4,400 m +400 m A smaller step, which is fine. 6 4,800 m +400 m Another rest night is due after about 1,000 m more of gain.     Acclimatization on Himalayan treks and climbs •     Starting low gives you more time. Medical guidance says that, if possible, you should walk up from a lower start instead of flying or driving to a high point. If a flight to a high airstrip is part of the plan, treat the first day as a rest day. •     Rest days sit in hub villages. Namche Bazaar and Dingboche on the Everest Base Camp route, and Manang on the Annapurna Circuit, are well-known places to spend a rest day and take a short hike higher. •     Help can be far away. In remote mountain areas, medical care may be hours or days away. This is one more reason to follow the sleeping-height rules and to report symptoms early. •     Aid posts exist. The Himalayan Rescue Association (HRA), a non-profit formed in 1973, has run aid posts in Pheriche, at about 4,250 m, and in Manang. Check the HRA website for current details before you rely on them. •     Everyone is at risk. People who live at lower heights, including porters, are as likely to get altitude sickness as visitors. •     Climbing peaks adds height and difficulty. The same ideas apply on bigger mountains. Teams usually plan acclimatization climbs before a summit attempt. Ask the operator how this is built into the itinerary.     Signs of altitude sickness and what to do   Altitude illness has three forms. Acute mountain sickness (AMS) is the mildest and the most common. High-altitude pulmonary edema (HAPE) is fluid in the lungs. High-altitude cerebral edema (HACE) is swelling of the brain. HAPE and HACE are rare but can be deadly, and they can happen on their own or together. Condition Common signs What to do Mild AMS Headache, plus one or more of: nausea, dizziness, tiredness, poor appetite, poor sleep. Often starts within the first day (roughly 6 to 24 hours) after reaching a new height. Stop going up. Rest at the same height. Eat and drink. Paracetamol (acetaminophen) or ibuprofen can ease the headache. Tell your guide. Go down if you get worse. Moderate to severe AMS Headache that pain relief does not ease, repeated vomiting, growing weakness, shortness of breath, or clumsy walking and poor balance. Do not go higher. Go down. Even a few hundred metres lower can help. Get medical help. HAPE (fluid in the lungs) Breathless even at rest, tight chest, cough that may bring up white or frothy fluid, unusual tiredness, sometimes bluish lips. Emergency. Go down at once and get medical care. HACE (swelling of the brain) Headache with confusion, odd behavior, loss of balance and coordination, drowsiness, or seeing things that are not there. Emergency. Go down at once with help and get medical care.   Guides sometimes check balance with a simple test: walking in a straight line, heel to toe. A person who cannot do this may have a problem with coordination caused by altitude illness. Treat it as a reason to go down.   Never leave a person with serious symptoms alone. Going down is the most important treatment. The only real cures for altitude sickness are more time to acclimatize or descent. Medicine and extra oxygen can buy time, but they do not replace going down.     What medicines can and cannot do   No pill replaces a slow climb. Some people need medicine, and that is a decision for a doctor. •     Acetazolamide (often sold as Diamox) is the one medicine shown to help the body acclimatize. A doctor may suggest it for people at higher risk, such as someone who has had altitude sickness before or whose plan includes a fast ascent. It can cause tingling in the fingers and lips and changes in taste. A doctor will check for allergies and other health conditions first. •     Dexamethasone is a steroid. It can prevent and treat altitude sickness, but it does not help you acclimatize. It is used on medical advice, often as an emergency treatment. •     Pain relief such as paracetamol (acetaminophen) or ibuprofen can ease an altitude headache. It does not cure the cause. •     Extra oxygen can ease symptoms, but descent is still the priority. Do not use medicine to climb faster than the schedule allows. Guidelines treat a gradual ascent as the main way to prevent altitude illness.     Common myths about acclimatization •     Myth: “I’m fit, so I’ll be fine.” Reality: age, sex and fitness do not reliably predict who gets altitude sickness. Doctors who work in the Himalaya say the same. •     Myth: “I was fine last time.” Reality: an easy trip in the past is encouraging, but it does not guarantee the next one. •     Myth: “A headache is normal, so I’ll push on.” Reality: a mild headache is common, but it is also the main early sign. It is your signal to stop going up and check how you feel. •     Myth: “Medicine lets me skip the rest days.” Reality: medicine can lower risk, but a gradual ascent is still the foundation.     Before you go: a short checklist •     See your doctor, especially if you have heart or lung conditions, are pregnant, or have had altitude sickness before. Ask whether medicine such as acetazolamide makes sense for you. •     Read the itinerary night by night. Note the sleeping height, the rest days, and any flights to high airstrips. •     Look for spare days in the plan. Extra days give you room to slow down or rest if you need it. •     Check that your travel insurance covers the heights you plan to reach and emergency evacuation. Read the policy wording. •     Learn the warning signs in this guide, and agree with your guide on what the plan is if someone becomes unwell.     Frequently asked questions   What is acclimatization at high altitude? It is the process by which your body adjusts to having less oxygen in each breath. Your breathing, heart rate and blood all change over days and weeks. You support the process by climbing slowly, taking rest nights and sleeping lower than the highest point of the day. How long does it take to acclimatize to altitude? The first adjustment to a new height usually takes about one to three days. If you go higher, you start again at the new height. Deeper changes, such as more red blood cells, take weeks. The speed differs from person to person. At what height does altitude become a concern? Medical guidelines link altitude illness with travel above about 2,500 m (8,200 ft). It is less common below that height, but it can happen. Above 3,000 m (9,800 ft), guidelines set clear limits on how fast to gain sleeping height. What is the 500 m rule? Above 3,000 m, raise your sleeping height by no more than 500 m (1,600 ft) per day, and take one extra night at the same height for every 1,000 m (3,300 ft) you gain. Some guidance suggests 300 to 500 m a day for extra care. What does “climb high, sleep low” mean? It means you can go to a higher point during the day, but you come back down to sleep at a lower height. Sleeping height has a bigger effect on your risk than the highest point you reach in daylight. What are the first signs of altitude sickness? A headache is the usual first sign. Nausea, dizziness, tiredness, poor appetite and poor sleep often come with it. These signs usually start within the first day after reaching a new height. Tell your guide, and do not go higher until you feel better. Should I take Diamox? Only if a doctor advises it. Acetazolamide, sold as Diamox, is the one medicine shown to help the body acclimatize. It is not right for everyone, it has side effects, and it does not replace a slow ascent. Speak to your doctor well before the trip. Why do I wake up gasping for air at night at altitude? Above about 3,000 m, many people breathe in an uneven pattern during sleep: a few shallow breaths, then deeper ones, then a short pause. The pause can wake you with a feeling that you cannot breathe. This pattern is common and is not unusual by itself. If you also have a cough, chest tightness or breathlessness when resting, tell your guide straight away, because these can be signs of fluid in the lungs. Is acclimatization the same as acclimation? In everyday speech, people often use the two words in the same way. Scientists sometimes keep “acclimation” for changes to one factor in a lab, and “acclimatization” for adjustment in the natural world. For altitude, use “acclimatization”. Can altitude sickness be fully prevented? No plan removes the risk completely. A slow ascent is the best protection. Sensible sleeping heights, rest nights and early reporting of symptoms lower the chance of serious illness. If it does develop, going down is the main treatment.     Plan your acclimatization before you book   When you compare treks and climbs, look past the number of days. Read the sleeping height for each night and see where the rest days fall. A well-paced itinerary gives your body a fair chance, and the days you spend at height are more enjoyable when you feel well.   Alpinist Climber Expeditions is a Nepal-based company that has run high-altitude mountaineering and trekking in the Himalaya since 2021. If you would like to talk through a route, you can send your questions through the Alpinist Climber Expeditions website. Ask us how acclimatization is built into any itinerary you are considering, and ask every operator the same question.   Medical note: This guide is general information. It is not medical advice and does not replace a consultation with a doctor. If you or someone in your group shows signs of serious altitude illness, go down and get medical help.     Sources and further reading •     US Centers for Disease Control and Prevention. CDC Yellow Book: High-Altitude Travel and Altitude Illness. •     Wilderness Medical Society. Clinical Practice Guidelines for the Prevention, Diagnosis, and Treatment of Acute Altitude Illness: 2024 Update. Wilderness & Environmental Medicine, 2024;35(1 suppl):2S–19S. •     American Family Physician. Acute Altitude Illness: Updated Prevention and Treatment Guidelines from the Wilderness Medical Society. •     BMJ 2026;394:e100532. Prevention of altitude illness in adults: preparing people for travel to high altitude. •     NCBI Bookshelf (StatPearls). Altitude sickness overview. •     Princeton University Outdoor Action Program. Guide to High Altitude: Acclimatization and Illnesses (an educational guide whose page was last updated in 1999). •     Postgraduate Medical Journal, 2007. Heights and haematology: the story of haemoglobin at altitude. •     Himalayan Rescue Association Nepal. About us. •     Nepali Times. Fear of heights. •     American Meteorological Society Glossary. Acclimatization.    

Oct 14, 2026 Read More →
Ama Dablam 2026: Team Reaches Camp 1 (5,700 m)
Expedition Journal

Ama Dablam 2026: Team Reaches Camp 1 (5,700 m)

  Our expedition team is moving up the mountain with expert guidance and safety. The team reached Camp 1 (5,700 m) for the first rotation yesterday, 12 October, at around 5 PM. Today, 13 October, they are pushing on to Camp 2 (6,100 m) to sleep at altitude.   Rope fixing team reaches the summit   There is more news from the mountain. The rope fixing team reached the summit of Ama Dablam (6,812 m) today, 13 October, at around 11 o’clock. The rope fixing team puts ropes on the route so that climbers can move more safely on the technical sections. Reaching the summit is an important step for everyone planning to climb Ama Dablam this season.   The route from Camp 1 to Camp 2   The way from Camp 1 to Camp 2 is the technical heart of the Ama Dablam climb. The path follows a narrow rock ridge, graded fourth class, that runs sideways around a line of rock towers (climbers call them pinnacles and gendarmes). There is a big drop on both sides, so every step needs full focus. The granite here is very good: solid, with plenty of grip, and a joy to climb.   Just before Camp 2, the team reaches the Yellow Tower. This is about ten metres of almost vertical granite, graded French 4th class (British Severe, North American 5.5). Fixed ropes are in place, but the climb still needs real climbing skill and confident movement while carrying a pack. Above the Yellow Tower, the team reaches Camp 2 at 6,100 m.   Drone View of Mt. Ama Dablam   Guided personally by IFMGA Guide Prakash Sherpa   This expedition is guided personally by IFMGA Guide Prakash Sherpa, founder of Alpinist Climber Expeditions. An IFMGA certificate is a high international standard for mountain guides. It means the team has a guide trained to make careful decisions about the route, the weather, and safety on a technical Himalayan peak.   Why the first rotation and Camp 2 matter for acclimatization   Ama Dablam stands in the Everest Region of Nepal, and the air gets thinner with every step up. A rotation is a trip up the mountain to sleep at a higher camp, so the body can slowly adjust. The first rotation took the team to Camp 1, and sleeping at Camp 2 is the next step. When the team is fully acclimatized, they are stronger and safer for the summit push. We never rush this step. Read more in our acclimatization guide for Himalayan peaks.   Ama Dablam Autumn 2026 Expedition: Trekking to Camp 1     What comes next   After the night at Camp 2, the team will get ready for the summit push. The plan depends on how everyone feels and on the weather. We will share more news soon.   Dreaming of a Himalayan peak?   Learn more about our Ama Dablam Expedition, or see our other peak climbing trips in Nepal. Alpinist Climber Expeditions has guided in the Himalayas since 2021, with a safety-first approach on every climb.   Follow us for more updates from Ama Dablam. To plan your next expedition, message us on WhatsApp at +977 9843314253 or email info@alpinistclimberexpeditions.com.    

Oct 13, 2026 Read More →
Client Stories

From the Summit

Daniel Puttkemery
Daniel Puttkemery
Kyajo Ri Expedition
Prakash and his team are a couple of notches above totally professional! Everyone in the Alpinist Climber Expeditions family goes out of their way to provide the best possible experience. Superb core values and safety principles. I had the good fortune of climbing Kyajo Ri with Alpinist Climber Expeditions and…
★ ★ ★ ★ ★
Andy Tronsberg
Andy Tronsberg
Kyajo Ri & Island Peak
Perfect organised and guided expedition I ever took part! We climbed island peak and kyajo ri alpine style! Safety is always first, all team members are super kind and professional and also laughing comes not to short! Thanks for this unforgettable experience!! Andreas.
★ ★ ★ ★ ★
Raphael Lindenmann
Raphael Lindenmann
Kyajo Ri
In April 2025, we completed an unforgettable expedition to Kyajo Ri with ACE. We were four friends from Switzerland and enjoyed about two and a half weeks in the Khumbu region. From our arrival in Kathmandu to the summit and back, ACE's organization was impeccable.A well-coordinated team, superb support, excellent…
★ ★ ★ ★ ★
Luca Smargiasso
Luca Smargiasso
Ama Dablam + Kyajo Ri + Cholatse
I have been climbing for 15 years, over 4 continents. This was my 3rd trip to Nepal. And this was undoubtedly one of the Best-organised expeditions have participated in. Cannot thank Prakash and his Team enough. The attention to detail both in terms of equipment, climbing conditions, and accommodation/food was…
★ ★ ★ ★ ★
Rogier Keulen
Rogier Keulen
Kyajo Ri & Cholatse
With IFMGA guide Prakash we climbed Kyajo Ri and Cholatse. Our expedition couldn't have been any better! We had a lot of fun and summiting stunning Cholatse is the most intense thing I've done. We did it alpine style, so without fixed ropes from bottom to top. Safety was a…
★ ★ ★ ★ ★
Manu Laireiter
Manu Laireiter
Kyajo Ri
I participated in a private expedition to Kiayo Ri with Alpinist Climber Expeditions and it was simply fantastic. From the initial consultation to the final summit push, everything was perfectly organized and tailored to my individual needs. The guides were not only highly professional and extremely experienced in high-altitude mountaineering,…
★ ★ ★ ★ ★
Expedition Journal

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Ama Dablam 2026: Team Reaches Camp 1 (5,700 m)
Expedition Report

Ama Dablam 2026: Team Reaches Camp 1 (5,700 m)

  Our expedition team is moving up the mountain with expert guidance and safety. The team reached Camp 1 (5,700 m) for the first rotation yesterday, 12 October, at around 5 PM. Today, 13 October, they are pushing on to Camp 2 (6,100 m) to sleep at altitude.   Rope fixing team reaches the summit   There is more news from the mountain. The rope fixing team reached the summit of Ama Dablam (6,812 m) today, 13 October, at around 11 o’clock. The rope fixing team puts ropes on the route so that climbers can move more safely on the technical sections. Reaching the summit is an important step for everyone planning to climb Ama Dablam this season.   The route from Camp 1 to Camp 2   The way from Camp 1 to Camp 2 is the technical heart of the Ama Dablam climb. The path follows a narrow rock ridge, graded fourth class, that runs sideways around a line of rock towers (climbers call them pinnacles and gendarmes). There is a big drop on both sides, so every step needs full focus. The granite here is very good: solid, with plenty of grip, and a joy to climb.   Just before Camp 2, the team reaches the Yellow Tower. This is about ten metres of almost vertical granite, graded French 4th class (British Severe, North American 5.5). Fixed ropes are in place, but the climb still needs real climbing skill and confident movement while carrying a pack. Above the Yellow Tower, the team reaches Camp 2 at 6,100 m.   Drone View of Mt. Ama Dablam   Guided personally by IFMGA Guide Prakash Sherpa   This expedition is guided personally by IFMGA Guide Prakash Sherpa, founder of Alpinist Climber Expeditions. An IFMGA certificate is a high international standard for mountain guides. It means the team has a guide trained to make careful decisions about the route, the weather, and safety on a technical Himalayan peak.   Why the first rotation and Camp 2 matter for acclimatization   Ama Dablam stands in the Everest Region of Nepal, and the air gets thinner with every step up. A rotation is a trip up the mountain to sleep at a higher camp, so the body can slowly adjust. The first rotation took the team to Camp 1, and sleeping at Camp 2 is the next step. When the team is fully acclimatized, they are stronger and safer for the summit push. We never rush this step. Read more in our acclimatization guide for Himalayan peaks.   Ama Dablam Autumn 2026 Expedition: Trekking to Camp 1     What comes next   After the night at Camp 2, the team will get ready for the summit push. The plan depends on how everyone feels and on the weather. We will share more news soon.   Dreaming of a Himalayan peak?   Learn more about our Ama Dablam Expedition, or see our other peak climbing trips in Nepal. Alpinist Climber Expeditions has guided in the Himalayas since 2021, with a safety-first approach on every climb.   Follow us for more updates from Ama Dablam. To plan your next expedition, message us on WhatsApp at +977 9843314253 or email info@alpinistclimberexpeditions.com.    

Oct 13, 2026 Read Article →
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