Welcome to Cusco, the majestic cusco acclimatization itinerary! You have arrived in the ancient capital of the Inca Empire, sitting at a breathtaking 3,399 meters (11,152 ft) above sea level. This altitude is a gift, offering proximity to the Andes and to Machu Picchu, but it demands respect. Many first time visitors try to rush into major treks like the Salkantay Trek to Machu Picchu 5D/4N , only to find themselves dizzy or nauseous by midday. This is why following a dedicated cusco acclimatization itinerary is the most crucial part of your entire Peruvian adventure. Our priority, as expert guides, is your safety and ensuring you feel strong and ready to conquer the Andes, not just endure them. The Andes are waiting, but they reward patience.

Why a Smart Acclimatization Itinerary is Essential
Our perfect two day cusco acclimatization itinerary focuses on low impact activities, hydration, and gentle exploration. This slow start allows your body to naturally adjust its oxygen-carrying capacity. From an Expert’s Perspective, I’ve seen countless hikers attempt a strenuous walk on their first day, only to spend the next 48 hours confined to their hotel room; you must avoid this mistake. We are here to guide your expedition, and that means starting smart. By following this structured plan, you’ll not only prepare your body for the physical demands ahead but also fully immerse yourself in the culture of the Sacred Valley and Cusco City, creating deep, lasting memories. Remember, acclimatization is not just about resting; it is about smart exploration. For a deeper dive into the science and best practices, we highly recommend reading our detailed guide on How to Avoid Altitude Sickness in Peru .
Day 1: Gentle Immersion and Hydration: Your Initial Cusco Acclimatization Plan (3,399m)
The first 24 hours in Cusco are the most important for your body’s adjustment. Your goal is to move slowly, stay incredibly hydrated, and eat light. Upon arrival at Alejandro Velasco Astete International Airport (CUZ), take a pre arranged taxi directly to your accommodation. Avoid climbing stairs immediately. When your guide is meeting you for the first time, we often check to ensure you are drinking plenty of water and coca tea. The local wisdom of the Andes suggests that chewing or sipping coca leaves helps with the adjustment process, and it is a gentle stimulant, but hydration remains key.

Morning and Afternoon: Arrival, Hydration, and Light Cusco Acclimation Exploration
Start your day by settling in. The best piece of advice I can give, straight from the trail, is to always carry a water bottle with you and constantly sip. Don’t wait until you’re thirsty. After a light lunch, think a simple vegetable soup, or sopa de quinua, venture out for a short, flat walk near the Plaza de Armas. We recommend exploring the San Blas neighborhood, known for its narrow, picturesque streets and artisan workshops. The gentle inclines here are a good test for your breathing, but remember to stop often. Cusco acclimatization itinerary success depends on listening closely to your body. Avoid strenuous activity like running or speed walking. Dinner should be early and light; a common mistake is celebrating the arrival with a heavy meal, which only burdens your digestive system at a difficult altitude. Opt for simple, locally sourced food.
Evening: Essential Rest and Cultural Insight for Altitude Adjustment
In the evening, before bed, focus on relaxation. The high altitude air can make sleeping difficult initially. I always advise my groups to take a warm shower and avoid alcohol and heavy caffeine. Instead, we encourage them to review their cusco acclimatization itinerary and their upcoming trek details. Consider visiting the San Pedro Market for a brief, authentic experience. It’s a sensory overload, but keep the visit brief and calm. This low-impact immersion ensures your mind is engaged with the culture without stressing your body. A crucial step often overlooked is checking your urine color it should be clear, indicating sufficient hydration. If it’s dark, you are not drinking enough. This simple check is a habit we teach all our hikers to ensure maximum safety.
| Cusco Day 1 Acclimatization Checklist | Goal | Notes from an Expert |
|---|---|---|
| Hydration | 3-4 liters of water/tea | Carry a bottle and sip constantly. |
| Activity | Flat, gentle walking | Keep heart rate low; avoid stairs. |
| Nutrition | Light, carb-rich meals | Vegetable soup and quinoa are perfect. |
| Prohibited | Alcohol or heavy caffeine | They dehydrate you and can mask symptoms. |
| Rest | Early to bed (9 PM) | Aim for 8+ hours of quality sleep. |
Day 2: Strategic Excursions and Altitude Testing for Your Acclimatization Itinerary (Up to 3,800m)
Day 2 allows for slightly more activity, but the cusco acclimatization itinerary still emphasizes pacing and monitoring. This is the perfect day to take a structured tour that involves minimal walking but covers a greater distance. This way, you test how your body reacts to higher altitudes in a controlled environment, such as a comfortable tour bus, before committing to a multi-day trek.

Morning: A Gentle Hike or Safe Cusco City Exploration
You have two safe options for your morning.
- Option A: A gentle exploration of a slightly higheraltitude site, like Sacsayhuamán (3,700m). Expert Tip: Take a taxi up to the site and then walk slowly down back into Cusco. This downhill path is far less taxing on the lungs and legs.
- Option B: A deep cultural dive. You could choose a Cusco City Tour Half Day (a secondary tour option) that focuses on the Cathedral and the Qorikancha (Temple of the Sun). These indoor, less physically demanding sites allow for rich cultural exchange while protecting your energy reserves. Remember to pack warm layers, as Cusco’s weather can change quickly, a lesson learned firsthand from many unexpected Andean squalls.
Afternoon: Controlled Altitude Exposure Tour: The Smart Acclimation Test
The best strategy for controlled exposure is a tour that reaches moderate altitude but relies on vehicle transport. We highly recommend the South Valley Tour Cusco: Discovering the Pre-Inca Legacy (a secondary tour option). This tour takes you through beautiful landscapes to places like Tipón and Pikillacta. It exposes you to altitudes up to 3,800m, but your body is resting in a vehicle for the majority of the time, allowing you to gauge your reaction to the height without physical exertion. This is the perfect test before attempting the strenuous climbs of the Classic Inca Trail. I often tell my hikers that the stunning views of the South Valley are worth the careful planning. By the end of Day 2, you should feel ready and confident to begin your journey to Machu Picchu.
| Low Impact Acclimatization Activities | Why They Work | Best Suited For |
|---|---|---|
| Cusco City Tour | Minimal walking, focus on culture, low altitude. | Travelers interested in history/museums. |
| Sacsayhuamán (Downhill) | Controlled ascent (via taxi), gentle descent, moderate altitude test. | Travelers needing a gentle warm-up walk. |
| South Valley Tour Cusco: Discovering the Pre-Inca Legacy | Reaches 3,800m while sitting, excellent altitude test with no exertion. | Pre-trekkers checking their altitude reaction. |
Conclusion and Next Steps
The first two days in Cusco are your essential foundation they are the quiet calm before the epic climb. By deliberately following this cusco acclimatization itinerary, you haven’t just rested; you’ve earned your view. You’ve transformed potential risk into a strategic advantage, ensuring your body and mind are fully engaged and ready for the majesty of the high Andes. Imagine standing at the Sun Gate, watching the first rays of light hit Machu Picchu, feeling strong, confident, and completely present. That feeling of conquest begins right here, with this smart, slow start. We don’t just guide tours; we prepare explorers for their peak performance.
Ready to trade the comfort of Cusco for the trail of a lifetime? Your safe, authentic, and unforgettable Peruvian expedition starts the moment you book with a team that puts your safety and success first.
Contact us today to secure your space on the Inca Trail or Salkantay Trek and let the real adventure begin! Follow our latest adventures and stunning photography on Instagram .


