All visitors must ensure that they are physically fit. People with heart and lung related problems must consult a physician. Acclimatisation is a must. Therefore, it is advisable to take it easy in the beginning. Travelers are likely to experience some breathlessness, dizziness, headache, loss of appetite. The Sonam Norbu Memorial Hospital in Leh has an extremely qualified team of dedicated doctors familiar in dealing with high altitude sickness and other medical problems. Diamox has been used to help in acclimatisation but it is advisable to consult your physician. The best is to take plenty of water. Clients are advised to bring their own personal medicines. One should carry regular medicine for Diarrhoea, Gastric, Acidity, Headaches, Fever, Cough, Cold, Congestion.
It is an absolute must to carry skin creams, lotions and chapsticks. One should also carry Sun Glasses, hats, Scarfs, thick cotton trousers / jeans for day use, wollen sweaters/ jackets, sports shoes, sandals with straps for rafting and evening wear and gloves. Films and batteries for cameras should be carried in quantity, because re-supply is not assured. A powerful flashlight is a must for those interested in studying monasteries, as the interiors are dimly lit. Photography of bridges, airfields and military installations is strictly prohibited.
Clients are advised to take the pre insurance against their travel for any unforeseen circumstances and flight cancellation. This is a remote area and evacuating the people from Ladakh to main land may take two to three days. You need to be prepared for flight cancellation in monsoon season but not very often
Your Driver / Hotel personal / Local Guides and Trekking tem expect a tip at the end of services and depends on your overall programme and duration. You may get the details from your representative and tour escort upon arrival in Ladakh.