In addition to being the entry point to Machu Picchu, Cusco, which is tucked away in the Peruvian Andes, is also a challenge in elevation. This historic city, which is 3,400 meters (11,152 feet) above sea level, captivates visitors with its cobblestone streets, Inca ruins, and lively culture. However, altitude sickness, also known as "soroche," can be an unforeseen detour for many tourists.
Whether you're organizing a luxury getaway through the Sacred Valley, a family vacation, or a hike that's on your bucket list, knowing Cusco's elevation is essential to having a great time.
Let's walk you through the process of acclimating like a pro, identifying symptoms, and making the most of your adventure in high-altitude Peru.
What Is the Altitude of Cusco, Peru?
Cusco sits at a breathtaking 3,400 meters (11,152 feet) above sea level. At this elevation, oxygen levels are roughly 30% lower than at sea level, which can challenge even seasoned hikers.
For context:
- Lima: 161 meters (528 ft)
- Machu Picchu: 2,430 meters (7,972 ft)
- Inca Trail Peak (Warmiwañusqa): 4,200 meters (13,780 ft)
Cusco’s altitude makes it one of the highest continuously inhabited cities in the world and one of the most mesmerizing.
Understanding Altitude Sickness: What Is “Soroche”?
Altitude sickness, known locally as "soroche," is a transient ailment brought on by the body's inability to adjust to reduced oxygen levels. It may persist for up to 72 hours after arrival and usually manifests within the first 24 hours.
Symptoms include:
- Headache
- Fatigue or dizziness
- Nausea or vomiting
- Shortness of breath
- Insomnia or poor sleep
- Loss of appetite
Serious forms HAPE (fluid in lungs) or HACE (fluid in brain) are extremely rare but require immediate descent.
Best Tips to Prevent Altitude Sickness in Cusco
Planning ahead is the smartest way to enjoy your trip without interruption. Here’s how to prepare your body for Cusco’s altitude:
1. Arrive Slowly
Spend your first days in the Sacred Valley, which lies at a lower elevation (~2,900m), before ascending to Cusco.
2. Stay Hydrated
Drink at least 3 liters of water daily. Avoid alcohol for the first 48 hours, and supplement with electrolyte-rich drinks.
3. Eat Smart
Choose light meals rich in carbohydrates and natural sugars to help digestion and energy.
4. Take It Easy on Day 1
Avoid strenuous activities, heavy meals, and long walks. Let your body rest and adapt.
5. Deep Breathing & Sleep Hygiene
Practice slow, deep breaths and rest in a slightly elevated sleeping position. Avoid sleep aids, which can suppress breathing.
Natural Remedies: Coca Tea, Sorojchi Pills & More
Peruvians have relied on natural altitude remedies for centuries:
- Coca Tea (Mate de Coca): A gentle stimulant that relieves fatigue and headache.
- Chlorophyll Drops: Improve red blood cell oxygenation.
- Sorojchi Pills: A local over-the-counter option containing aspirin, caffeine, and more.
- Essential Oils (Eucalyptus, Mint): Help clear sinuses and ease breathing.
All of these are easily found in Cusco pharmacies, markets, and hotels.
Altitude Tips for Families & Children
Traveling with little ones? Use these strategies:
- Stick to the Sacred Valley first.
- Avoid fast food or heavy meals on arrival.
- Schedule downtime between activities.
- Pack favorite snacks to combat loss of appetite.
- Always keep water and small snacks handy.
- Children typically adapt well but watch for headaches or lethargy.
Cusco Altitude FAQ
How high is Cusco compared to Machu Picchu?
Cusco is over 950 meters (3,100 ft) higher than Machu Picchu.
How long should I acclimate before hiking?
Ideally 2–3 days before starting hikes or visiting high-altitude sites like Rainbow Mountain.
Should I bring medication?
If you're prone to altitude issues or coming from sea level, consult your doctor about Acetazolamide (Diamox).
What is the altitude of Cusco in feet and meters?
Cusco is located at approximately 11,152 feet (3,399 meters) above sea level, making it one of the highest major cities in the world.
Can you get altitude sickness in Cusco?
Yes. Many travelers experience mild to moderate altitude sickness upon arrival in Cusco due to its elevation. Common symptoms include headache, nausea, fatigue, shortness of breath, and trouble sleeping.
What are the symptoms of altitude sickness in Cusco?
Typical symptoms include:
- Headache
- Nausea or vomiting
- Dizziness
- Insomnia
- Loss of appetite
- Shortness of breath
- Fatigue
These symptoms usually appear within the first 24–48 hours at altitude.
Is Machu Picchu higher than Cusco?
No. Machu Picchu is lower, at around 7,972 feet (2,430 meters).
Because it’s about 3,000 feet lower than Cusco, altitude sickness is less common there.
Is altitude sickness dangerous?
Most cases are mild and pass within 1–2 days. However, in rare cases, severe forms like HAPE (fluid in lungs) or HACE (swelling of the brain) can occur. Seek medical attention immediately if symptoms escalate.
Is it better to visit the Sacred Valley before Cusco?
Yes. The Sacred Valley (2,000–2,800 meters) is lower than Cusco and offers a gentler acclimatization. Many travelers fly into Cusco and head straight to Ollantaytambo or Pisac before returning to Cusco.
One of the most breathtaking experiences in South America is visiting Cusco and the surrounding highlands, where each step at a high elevation brings you closer to the region's breathtaking scenery, ancient history, and genuine Andean culture.
Altitude sickness is a common worry, but it doesn't have to stop you from traveling. You can acclimate comfortably and concentrate on creating lifelong memories if you have the proper planning, patience, and knowledge of local remedies.
Knowing how altitude impacts your body enables you to travel more intelligently, safely, and confidently whether you're hiking the fabled Inca Trail, exploring the Sacred Valley, or taking in the sights of Machu Picchu.
Let Andean Travel Experience guide you to the heights of Peru with comfort, safety, and style. Our expert-designed itineraries help you acclimatize smoothly while uncovering the magic of Cusco, Machu Picchu, and beyond.