How To Prepare For Your First High Altitude Expedition

Article published at: Jul 23, 2026 Article author: Stuart Ritchie Article tag: altitude sickness
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So you're thinking about your first high altitude expedition. Maybe you've got a specific mountain in mind like Kilimanjaro, Everest Base Camp, the Inca Trail or maybe you're still at the stage of browsing itineraries and dreaming about what's possible. Either way, you're in the right place.

I've been coaching people towards their first high altitude expeditions for years, and I've completed plenty of my own from Everest Base Camp and Mera Peak to Kilimanjaro and Kang Yatse 2 at 6250m. The question I get asked more than any other is: where do I even start?

This post answers exactly that 👇

 

Free Download Link at the end 🔗

 

What Counts As High Altitude?

High altitude is classed as anything above 2400m above sea level. To put that in context, Ben Nevis (the highest mountain in the UK) sits at 1345m. Kilimanjaro reaches 5895m. Everest Base Camp sits at 5364m. Island Peak, one of the most popular trekking peaks in Nepal, tops out at 6189m.

The higher you go, the lower the air pressure and the less oxygen available to breathe. Your body is remarkably good at adapting to this but it needs time, and it needs to be in good enough shape to cope with the added demands altitude places on it.

 

Understanding Altitude Sickness

Altitude sickness or Acute Mountain Sickness (AMS) is one of the most common concerns for first-timers, and rightly so. It can affect anyone regardless of fitness level, and it's worth understanding before you go. Symptoms include headaches, nausea, dizziness, fatigue, and disrupted sleep. In mild cases it's manageable with rest and hydration. In serious cases, the only solution is to descend.

The good news is that AMS is largely preventable. The key factors are ascending gradually, staying well hydrated, eating regularly even when your appetite disappears, and prioritising sleep and rest days. Many people also speak to their GP about Diamox, a medication that can help prevent and manage symptoms. It's not suitable for everyone, so get advice well in advance of departure.

Fitness doesn't prevent altitude sickness but a stronger cardiovascular system uses oxygen more efficiently, which helps you cope better when oxygen supply is reduced.

 

Choosing The Right Expedition

One of the most important decisions you'll make is choosing the right expedition for where you are right now and not where you hope to be.

Height and difficulty are not the same thing. The Matterhorn sits at 4478m but is a serious technical alpine climb requiring ropes and specialist experience. Everest Base Camp reaches 5364m but is a trek and no technical climbing required, just fitness and determination. Always research what an expedition actually involves, not just how high it goes.

My advice for first-timers is always the same: choose something that challenges you but is achievable at your current level. Completing an expedition and finding it tough but manageable is infinitely more valuable (physically and mentally) than attempting something beyond your current ability and having to turn around. You can always build towards bigger mountains. That's the whole point.

Some of the most popular first high altitude expeditions include:

Kilimanjaro (5895m / Tanzania): One of the most accessible high altitude treks in the world, no technical experience required. It's by far one of my favourite expeditions.

Everest Base Camp (5364m / Nepal): Iconic, well-supported, and achievable for well-prepared beginners. The himalayas is every hikers dream.

Toubkal (4167m / Morocco): A brilliant shorter expedition, ideal as a first step into high altitude.

Inca Trail (4215m / Peru): Combines culture, history, and altitude in one of the world's most famous treks.

Kang Yatse 2 (6250m / India): A step up in technical difficulty, ideal for those ready to progress to something a little more challenging. 

 

How To Train For A High Altitude Expedition

This is where the real difference gets made. Your pre-expedition training is one of the biggest variables you have control over and it's the thing most people underestimate.

Expedition training has two main components: cardio fitness and strength. Both matter, and both serve a specific purpose on the mountain.

Cardio fitness improves your aerobic base, meaning your body uses oxygen more efficiently. This translates directly to easier uphill sections, less fatigue across long days, better sleep at altitude, and faster recovery between days. The most expedition specific cardio training you can do is getting out on your feet like walking, hiking, and stair climbing with a loaded pack.

Strength training protects your joints, improves your stability on uneven terrain, and makes carrying a heavy backpack significantly more manageable. Strong legs and knees are essential for long descents, which are often harder on the body than the ascents. A strong core improves your posture and balance across challenging terrain.

How much time you have before your expedition will shape what your training looks like:

12+ months out: Focus on building consistent habits and a solid aerobic base

6–12 months out: Introduce weighted carries and more expedition-specific conditioning

3–6 months out: Increase intensity, prioritise long days on the hill with a loaded pack

6–12 weeks out: Maintain fitness, sort your kit, taper in the final two weeks

6 weeks or less: Prioritise cardio and time on your feet, quality over quantity

Whatever your timeline, starting is always the right move.

 

Essential Kit For High Altitude Trekking

Kit preparation is something first-timers often leave too late. The essentials fall into a few key categories: footwear, layering, sleep system, health and hygiene and documents.

A few things worth highlighting 👇

Boots: break them in before you go. New boots on day one of a 10-day expedition is one of the most avoidable and painful mistakes I see. Wear them on every training walk from the moment you buy them.

Layering: the key principle is versatility. You'll be too warm on the ascent and cold at camp. A good base layer, mid layer, insulated jacket, and waterproof hardshell will cover most conditions.

Sleeping bag: Rated to at least -10°C for anything above 4000m. Don't cut corners here.

Travel insurance: must specifically cover high altitude trekking and emergency evacuation. Check the small print before you buy.

 

Where To Get Started

If you're serious about your first high altitude expedition, the best thing you can do right now is two things: book your expedition and start your training.

I've put together a completely free guide: The Essential Guide To Your First High Altitude Expedition which covers everything in this post in more detail, including a full training timeline, a complete kit checklist, a free backpack workout and five tips I wish I'd known before my first expedition.

It's completely free and available to download now 📩

[Download the free guide here ➡️]

If you'd like to talk through your expedition and what your training should look like, I offer a free 30-minute consultation call, no obligation, just honest advice from someone who has been on the mountain. Fill out an enquiry form and i'll be in touch.

[Enquiry form here ➡️]

Every expedition is different, but the principles are the same. The preparation starts here.

Stuart Ritchie
Expedition Fitness Coach (Trek & Climb Fitness)

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