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Ladakh acclimatisation guide

Leh is about 3,500 m high, so rest completely on day one and take gentle walks on day two before going higher.

By OmarUpdated 29 Sep 20263 min read
Quick answer

Leh is about 3,500 m high, so rest completely on day one and take gentle walks on day two before going higher. Khardung La (5,359 m) and Chang La come later, with short stops only. Drink water, skip alcohol at first, and descend if symptoms worsen. Driving in from Srinagar via Kargil acclimatises you more gradually than flying.

The 48-hour rule

Day 1: rest. Day 2: Leh Palace, Shanti Stupa (drive up), easy walks. Day 3 onwards: Nubra or Pangong.

Symptoms to watch

Headache, nausea, breathlessness at rest, confusion or unsteadiness. Mild symptoms: rest and hydrate. Worsening: descend and seek medical help.

Special cases

Children, seniors and anyone with heart or lung conditions should consult a doctor before travel and plan extra rest days.

Road vs air

Srinagar → Sonmarg → Kargil → Leh climbs over two days; flying lands you at altitude immediately.

FAQ

At least 48 hours before going higher.

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Written by Omar, trip planner in SrinagarChecked on the ground: 29 Sep 2026 · How we check
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