Leh sits above 3,500 metres, and altitude is the one factor that can derail an otherwise well-planned Ladakh trip if it is not respected from day one.

Understanding Altitude Sickness

Mild symptoms — headache, breathlessness, poor sleep — are common in the first 24-48 hours and are the body adjusting, not a medical emergency by default. Symptoms that worsen rather than ease are the signal to descend and seek medical attention.

Acclimatisation Days Matter

A deliberately quiet first day or two in Leh, with no long drives or exertion, is the single biggest factor in how the rest of the trip feels. Higher stops like Nubra Valley and Pangong Lake are better visited after, not before, this window.

What To Pack For Ladakh

• Heavy layers — nights are cold even in peak summer
• A windproof outer layer
• Strong sunscreen and sunglasses — UV is intense at altitude
• Any personal medication, plus a basic altitude-relief medication your doctor approves