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Tilicho Mesokanto La Pass Trek

Tilicho Mesokanto La Pass Trek


Trip Fact

Trip Name:

Tilicho Mesokanto La Pass

Best Month:

Sep - Nov & Mar - May

Max Elevation:

5340 m

Walking hours Per Day:

6-9 hours

Trip Duration:

15 Days

Trip Grade:





Hotels/Lodge & Tent

Group Size:



Annapurna Region of Nepal

The Tilicho Mesokanto-La Pass Trek is a challenging and rewarding trekking destination in the Annapurna region of Nepal. The journey is a combination of two popular trekking routes such as Tilicho Lake Trek, one of the highest lakes in the world and Mesokanto-La Pass, offering spectacular views of the surrounding mountain and landscape.  

The Tilicho Mesokanto-La Pass Trek creates an adventurous and challenging trekking experience in life.  It requires previous trekking experience, physical fitness, proper planning and experienced local guide to successfully complete the journey. It is also an alternative route of Thorong La Pass Trek (Annapurna Circuit Trek), and known as Tilicho Pass Trek. 

Tilicho Lake Trek

Tilicho Lake is one of the most popular trekking destinations in the world, located in the Annapurna region of Nepal. It is the lake at the highest elevation because of its location, which is 4919 meters above sea level. This Lake is a wonderful ice lake which is surrounded by mountains. Tilicho Lake Trek is known for its spectacular mountain landscapes, varied flora and fauna and local culture. This route is a side trip of the classic Annapurna Circuit Trek, The trail passes through charming villages, lush forests, terraced fields, rivers, highland terrain and finally leads to the exciting Tilicho Lake, surrounded by snow-capped peaks.

Mesokanto-La Pass Trek 

Mesokanto La Pass is another challenging high altitude trekking destination in the Annapurna Region of Nepal. The pass itself is situated at an altitude of 5340 meters and offers spectacular panoramic views of the surrounding mountains. This trekking route is comparatively less explored and offers a more isolated and adventure trekking experience compared to some of the popular trekking routes in Nepal.

Tilicho Mesokanto La Pass Trekking Route

This wonderful adventure Mesokanto La Pass Trek starts from Syange which is also the starting point of classic Annapurna Circuit trek and ending point of Manaslu Circuit Trek then ends on Jomsom or Beni. to visit the Tilicho Lake is a popular side trip of the classic Annapurna Circuit Trek. So, the trail follows the Annapurna Circuit Trek until Manang village and moves to the North-west side to Tilicho Lake. Passing beside the bank of Tilicho Lake, the trail heads up over the two passes namely Mesokanto-La and Tilicho Pass to get to the Kali Gandaki Valley.

Mesokanto La pass is an exciting and beautiful route but is very technical, particularly the downhill section from the Mesokanto-La top, and we do not recommend it for beginners' trekkers. from the top, you will have awesome mountain views including Annapurna, Dhaulagiri and other many snow-peak mountains. Beside the mountain views, there are opportunities to explore green forest, hills, different people and their culture, old monasteries, wildlife and birds, some other lake, river and various flora and fauna along the trail.

After crossing the Mesokanto-La, you will reach Jomsom which is headquarters of the Mustang district and famous place of Annapurna Circuit Trek. It is also the starting point of Upper Mustang Trek.  Before getting Jomsom, it is necessary to do a one-night tent camp with light and dry food. From Jomsom you will come down to Pokhara by flight or drive. We (High Pass Adventure) provide you experienced trekking staff to make sure your best trip in Nepal. For the Tilicho Mesokanto La Pass, less trekkers do that's why it is hard to find the trail due to cover the trekking trail by snow in the trekking season. 

Highlights of Mesokanto-La Pass Trek 

  • Trekking in the Annapurna Conservation Area which is worthy for nature and culture
  • Trek across the two river valleys namely Marshyangdi River Valley and Kali Gandaki River Valley
  • Magnificent view of Manaslu, Annapurna and Dhaulagiri Mountain Range 
  • Explore the beautiful Tilicho Lake (4,918m) which is highest lake in the world
  • Explore the beautiful villages of Gurung, Magar Thakali, Mananges, etc
  • Chance to interact with friendly and generous local people as well as explore culture, lifestyle and tradition
  • Crossing the Mesokanto La and Tilicho Pass 

Why Choose the MesoKanto-La Pass Trek? 

The Mesokanto-La Pass Trek is a challenging and best trekking destination for adventure lovers in the Annapurna region of Nepal. This Tilicho Mesokanto- La Pass Trek is best for those who have previous high altitude trekking experience and fitness to cross the Mesokanto- La (5300 m) through Tilicho Lake.  Tilicho lake is the holy lake situated 4950m high, which is believed in Hindu and Buddhist religion. From Tilicho Lake where the route leads to remote corners of the Manang area to cross over Mesokanto-la to reach  Jomsom. It is one of the adventures of scenic combination with cultural walks, where the trekking leads to famous and popular Classic Annapurna Circuit trail up to Manang village, which is regarded as the world’s top ten adventure destination.

At all, you can observe the unique mountains vista, wonderful landscape, rivers, streams, beautiful terrace rice field, green forest, wildlife, local village with their lifestyle and religion, popular old monasteries, Glacier, glacial Lake. The Mesokanto-La Pass Treks starts from Syange and leads to you circle the Massif Mountains Including Mt. Annapurna ‘I’ (8091 m) and others snow-capped peaks and ends at Pokhara. 

Important Note:

There are times when difficulties like bad weather, regional politics, transportation, or other circumstances are beyond our control. It could include a change to our schedule. It is extremely unlikely that the schedule would vary significantly, though. The Guide and Trekking leader will choose the finest modifications if they are required. You can confer and decide to consider the group's overall satisfaction. When a change does occur, we do everything we can to reduce its impact, but we cannot be held accountable for the outcomes of modifications or delays. Our trekking staff members are knowledgeable and courteous, and they make every effort to address any issues that may arise.

Tilicho Mesokanto La Pass Trek Altitude Profile

Itinerary Expand All Close All

High Pass Adventure Pvt.Ltd. welcomes you to in Nepal, one of the company staff will be waiting outside the baggage hall of the Tribhuwan International Airport (TIA) in Kathmandu. You have to look for the person carrying on A4 size paper with your and our company name. This person will take you to hotel in Kathmandu from the airport. Check into hotel, rest and fresh up and ready for the meeting to your programs in our trekking office.


You will enjoy your breakfast in the hotel and get ready for the Kathmandu valley tour with experience tour guide. Our tour is of the UNESCO World Heritage Sites in Kathmandu Valley. You will be visiting Swayambhu Nath, Kathmandu Durbar Square, Pasupatinath and Boudhanath, which are best and popular place 4 out of 7 UNESCO World Heritage Site in Kathmandu Valley. You will be visiting by comfortable privet vehicles before walk tour of these sites. There is interesting tour for full of fascinating insights into Buddhism, Hinduism, ancient art and historical architecture, lifestyle, cultural of people of Kathmandu Valley. After this tour you will come to office and finalize your trekking clothing and gear.


You will have to leave early in the morning after breakfast from Kathmandu hotel to catch a public or private vehicle to Besisahar and road heading along river valleys, few towns, terraced fields and green hilly scenery until Dumre and trun right to Besisahar along the Marsyandi River through beautiful terrace rice filed. From the Besisahar we will change another jeep to Syange.   


Today we will trek to Darapani village from Syange which takes up about 6/7 hours. The trekking trail heading gentle up through Jagat, Chyamje and Taal Village as well as crossing the couple of suspension bridge. We can find the many hotels and restaurant for the rest and snacks along the way.  


Today is beautiful trekking day to reach Chame because of the hiking trail is goes gentle up to Danaqu and ascent through pine and rhododendron forest towards Timang. Timang is the best viewpoint of Mt. Manaslu. After crossed Timang, Thanchok, and Koto you reached out the Chame.  Chame is Headquarter of Manang District and there are many shopping center and bank as well as road connected from Besisahar.  


After breakfast, we will head to Pisang through Brathang and Dukur Pokhari in green forest of pine. This day chance to see Lamjung Himal along with the rays of sun over the peak, Annapurna II, Pisang Peak and others snow peak and hills as well as cross some suspension bridge over the Marsyandi River before reach the camp.


Today is two options to go Manang village, one is lower trail, and another is upper trail. Lower trail is already road constructed so your guide leading to upper trail. Upper trail is more fascinating for the panoramic view of mountain ranges and Tibetan culture and lifestyle. So, you will ascend up to Ghyaru village from Pisang and trail continue heading to Manang through Ngawal.  


Today is rest day for acclimatize at Manang because you are above than 3500 meters. It is necessary to all trekkers before climbing further up. There are many place to visit such as ice lake, Gangapurna Lake, few caves etc.  You can make a short hike around village or hike up to Ice Lake for increase altitude to crossing Mesokanto La Pass. From Manang, you will see splendid view of Annapurna IV, Gangapurna, Tilicho Peak and other mountains. 


Today the trail is leads to another beautiful area in this region which is the Tilicho Lake. We will follow the trail that is gentle flat until the Marsyangdi River and ascending to Shree Khark after cross the river and Khangsar village. You will Chance to see beautiful scenery along the way. 


After Shree Kharka the trail leads to higher area in to Tilicho Lake. The trail is narrow through landside area with few downhill and gradual zigzag ascend closer towards to Tilicho Base camp. Today you will enjoy the view of Mt. Tilicho Peak and Gangapurna as well as others hill from the walking period. There are basic tea house for overnight stay.


Today is long, challenging and wonderful day of the trip so we have to start walk early in the morning to cross two high passes namely Tilicho Pass and Mesokanto La pass.  The trail is heading up to Tilicho Pass and bit descends and again up to Mesokantola Pass. After the Mesokanto La pass steeply descending to Yak Kharka. You will take pack lunch and enough drinking water because there is not hotel between Tilicho Base camps to Yak Kharka. 


Today is easy walking day but you will feel hard due to you did tough walk and cross the challenging pass. The trail is descending to Kaligandaki Valley with view of Dhaulagiri and Nilgiri mountains. 


There is a flight and road connected to Pokhara. Today you will have early breakfast to catch the flight. It takes 20 minutes scenic mountain flight between two big mountain such as Mt. Annapurna ((8091 m) and Dhaulagiri (8167 m). Sometime becomes problem like weather condition, we have to take bus or jeep to Pokhara. It takes about 9/10 hours to Pokhara. 


Today, we have to leave early in the morning after breakfast from Pokhara hotel to catch the tourist bus. The road is heading along river, valleys, few towns, terraced fields and green hilly scenery to Kathmandu. You will take a rest in Kathmandu hotel or souvenir sopping. 


Today is your last day of your trip in Nepal. One of our High Pass Adventure staff will take to you Kathmandu international Airport for your flight departure time. If you are looking to your extra trip in Nepal, High Pass Adventure help to you for your next trip and adventure activities in Nepal, Tibet, Bhutan and India. 


What Is Included ?

High Pass Adventure have working best guide and porter for the trekking. We are providing an excellence service to our customer. All our costs are net and very clear on cost include-excludes. We have paid best salary to Trekking, Tour guide and porter which is more than government fixed amount. Our entire customers are satisfied from our service. For the more details please feel free to contact us.

Cost Includes

  • Airport Pick up & drops by private vehicle 
  • 2 night's Hotel in Kathmandu on Bed & Breakfast plan
  • 1 night hotel in Pokhara on Bed & Breakfast plan
  • Kathmandu valley sightseeing 
  • Kathmandu-Besisahar by Bus/Jeep
  • Jomsom-Pokhara by plane/jeep 
  • Pokhara-Kathmandu by Tourist bus 
  • 3 meals per day during the trek (Breakfast Lunch & Dinner) and one cup of tea with per meal
  • Accommodation on Tea-house and tent camp during the trekking
  • An experience English Speaking trained, Government license Holder Guide
  • Necessary strong Porter 1: 2 (one porter for two Guest), the porter will Carry 20KG/ 25 KG
  • All applicable taxes as per the government rules and regulations
  • All trekking permits (ACAP and TIMS )
  • First Aid medical kit, Oxy-meter to check pulse, heart rate and oxygen saturation at higher altitude
  • Guide and porter salary, Food, accommodation and insurance during the trek
  • Tour Certificate, Company T-shirt as a Souvenir
  • Farewell Dinner with Typical Nepali Restaurant

What Is Excluded?

  • Nepal visa fee and your International flights
  • Lunch and dinner in Kathmandu and Pokhara
  • Extra night hotel accommodation in Kathmandu and Pokhara other than itinerary
  • Travel insurance and Mountain rescue service (covers emergency Rescue and Evacuation)
  • Personal expenses (phone, laundry, water, bar drinks, battery recharge, extra porters, hot shower etc.)
  • Trip Cancellation cost accident or Health, Loss Theft or Damage and personal effects
  • Tips to Trekking staff (Tips is expected)
  • Any other expenses that aren’t mentioned in the section above

Traveller Useful Information

Information of Annapurna Conservation Area Project

Annapurna Conservation Area project (ACAP) is largest conservation area of Nepal and located in north center in Nepal.  It has 7629 square Km and established in 2049 B.S. (1992 A.D.). It is bounded by the mustang in the north, Kali Gandaki River in the west, Marsyandi valley in the east and Pokhara valley is the south border. 

This project was initiated by National Trust for Nature Conservation (the king Mahendra Trust for Nature Conservation) a non- government organization and donate by many international trusts. Nowadays, this project conserved by National Trust for Nature Conservation (NTNC) and local people community from local area. The head quarter of this ACAP is Ghandruk. 

Best time to Mesokanto-La Pass Trek

The best time Trek to the Tilicho Mesokanto-La Pass is during the two main trekking seasons namely spring and autumn season in Nepal. These two seasons offer the most favorable weather and spectacular views, making your trekking experience enjoyable and memorable.

Spring season (March to May):

Spring is the best time for the Tilicho Mesokantola Pass Trek. During this season, the weather is favorable for walking and the skies are clear to offer the magnificent views of the surrounding mountain. The temperature is suitable and ranges from 1 to 20 degrees Celsius which is perfect temperature for exploring and can drop to -8 in the night time.  So, the weather is perfectly sunny and warm with wonderful mountain views, clean air and no rain and snow compared with other trekking seasons. Beginning of March can still be cold and snowy around the Mesokantola Pass, which required proper planning with an experienced local guide to successfully complete the trip. 

Autumn season (September to November):

Autumn is another popular and recommended season for the Tilicho Mesokantola Pass Trek. The weather is dry, and the skies are generally clear, offering breathtaking views of the Himalayan peaks. The temperatures are moderate, and the conditions are favorable for hiking. Autumn is also known as the post-monsoon season, so the air is crisp and clean after the rains, providing favorable temperature for walking and stunning vistas of the surrounding mountains and landscapes.

Summer and winter season (July to August and November to February)

Tilicho Lake trek is possible during the summer and winter seasons but Tilicho Mesokantola Pass trek is not possible due to a more challenging trekking route. Summer is not the most recommended time due to the challenging weather conditions and potential risks involved like landslides and muddy trails.  Winter is also not a good time to trek there because there will be a lot of snow around the pass and it will be difficult to find the right direction even with an experienced guide.

 However, the weather and trail conditions may not be as favorable and you may encounter more challenges, such as rain and snow during the winter months (December to February) or the possibility of monsoon rains, landslides and leeches during the summer months (June to August).

Tilicho Mesokanto La Pass Trek Difficulty

Tilicho Mesokanto la Pass Trekking difficulty level is challenging, so it requires good physical fitness, good health condition and has to be able to walk 6-9 hours a day with proper equipment. It is an adventure and demanding trekking route in Nepal compared with other trekking routes.
Mesokanto La Pass is itself standing at an altitude of 5340 meters above sea level, and altitude sickness is potential anxiety to all trekkers. This is the highest point of the Trek and situated between the mountains.  The challenging part of the trek is finding the right navigation during the snowing period as well as having to walk uphill and downhill in the higher elevation, which makes it difficult to walk.  
We highly recommend you pack and bring suitable warm clothing, appropriate trekking gear and hire an experienced trekking guide to easily complete the Tilicho Mesokanto La Pass Trek. 
 The trekking trails are rocky and steps in the forest which makes it difficult to walk in a few places.  The walking distance also depends on your fitness level, the terrain, elevations and destination. Normally the walking hours range is 6 to 9 hours a day.  
Our guide manages the tea-house and tent camp for accommodation, good food, resting place for rest, acclimatization day to manage, high altitude, slow walk, and short easy steps to easily complete the Tilicho Mesokanto La Pass Trek without any stress. 

Accommodation and food during the Trip

There are lots of accommodations and restaurants along the trekking trail till Tilicho Base Camp because every year increasing new house and add the room for trekkers. So, you can have easy to finding comfortable accommodation during the Tilicho Lake Trek but two more night’s will be tent camp for crossing the Mesokanto La Pass Trek . The accommodations are basic with twin sharing rooms till Tilicho Base Camp. The room may have a basic bed with mattress, bed-sheet, blanket and pillow but only one mattress in the tent camp. We recommend to trekkers that you should bring a sleeping bag for warmth and comfort especially at higher altitude. The toilet and bathroom (shower) are the limit in the teahouses, so we have to share with other groups.

The teahouses usually offer a variety of local and international dishes but options will be limited compared with cities as well as we provide basic local dishes during the camping. You may get local dishes such as chapati, rice (Dal Bhat), potato item, tsampa porridge, Tibetan bread, Sherpa stew, Momo (dumplings), Tenduk, noodles, thukpa and a few other foods.  They also offer the western food such as Pizza, roast, pasta and burger during the Tilicho Mesokanto La Pass Trek.  

Meat items are also available but that might be not fresh in the mountain area, so you have tried to be vegetarian during the trekking in Nepal Himalayas.  
At every lodge, a various choice of beverages is available for purchase. However, it's important to note that prices tend to increase as you ascend to higher altitudes. If you prefer a cost-effective and sustainable option, consider opting for normal water and utilizing purification tablets for safe utilization. Additionally, it's advisable to abstain from alcoholic beverages as you increase elevation, as they can negatively impact your acclimatization process.

Tilicho Mesokanto La Trek Permit 

Ghorepani Poonhill Trek situated in Annapurna Conversation Area, so you need to buy entrance fee of ACAP (Annapurna Conservation Area Project) permits and TIMS (Trekkers Information Management System) card. Both of these permits are compulsory for your trek to Annapurna Region except Nar Phu Valley Trek and Upper Mustang Trek. Those two permits can buy ether from registered trekking company or Tourism Board (Bhrikuti Mandap). Those two permits, you have to take yourself during the whole trek and have to show on the every check post along the Ghorepani PoonHill Trek. If you are going there without these 2 permits, you have to buy from there with double charge (penalty) or you may have turn back.

TIMS (Trekkers Information Management System) is compulsory for everyone to trek in Annapurna Region.

It Cost US$ 20 per person/ per Trek

Annapurna Conservation Area Project (ACAP) entry permits 

It cost US$ 30 only per person/ per trek

Our government has instilling these two permits for Annapurna Base Camp Trek from Kathmandu and Pokhara.

Trekking Gear List 

Travel equipment are necessary to pack before you travel.  We hope it is too much to carry from your home to others country but some are the necessary equipment can be hired or buy in Kathmandu around Thamel. 

These general equipment are for all seasons while on trekking in Nepal, but may be different as per the different season and duration of trekking routes on your chosen trip.


-Passport and 4 passport size photos 

-Travel insurance details (in case an emergency evacuation if needed)

-Boarding passes for flights

-Driver’s license (if needed)

-Cash USD

-Credit/Debit Card (Ensure you have $500 on your card incase an emergency helicopter evacuation is needed)


-Sleeping bag (Comfort rating -15 Celsius recommended)

-Sleeping bag liner (Optional)


-Trekking boots: one pair  lightweight

-Sandals for city and tea house footwear 

-Shoes for the plane and tea houses (Optional)

-Gaiters for hiking in winter to the base camp

-Thin, lightweight inner socks

-Thick, warm wool hiking socks

Clothing for body: 

Please make sure that you have non-cotton clothing for trekking.

-Base-layer t-shirts (e.g. running t-shirts)

-Fleece/Windproof jacket

-Waterproof jacket

-Down jacket for warmth

-Travel clothes and City Wear


-Base-layer trousers (optional)

-Waterproof trousers

-Trekking trousers

-Trekking shorts (Optional)

-Gloves and wool hat

-bandanna or scarf 

Health Requirements (Basic First Aid Kit)

-First-aid kit; should contain lip salve, Aspirin, Band Aids, anti-histamine, Imodium or similar tablets for mild cases of diarrhea

-Re-hydration powder, extra prescription drugs you may be taking if any particular

-Wet wipes for cleaning can be purchased in Kathmandu


-Sunglasses and Sun cream 


-Book (reading and writing materials)

 -MP-3 /Music, headphones and ear plug (who know some people on group are snoring) as optional.

-Travel wash

-Hand sanitizer, wet wipes

-A day bag: 35 liters

-A duffel or rucksack with straps to go over your back (Max 12 kg of weight for porters to carry)

-Dry Liner or Dry Bag

-Water bottle/thermos/ camel bag: At least 2 L. Nalgen bottles best.

General Toiletries

 -Toilet papers/ tissue 

-Contact lenses, Glasses (if needed)

-1 medium sized quick drying towel

-Tooth brush/paste (preferably biodegradable)

-Multipurpose soaps (preferably biodegradable)

-Nail clippers

-Face and body moisturizer

-Feminine hygiene products

-Small mirror

-On Personal Hygiene

-Wet wipes (baby wipes)

-Anti-bacterial hands wash

Others (optional) 

-Trekking Poles 

-Large plastic bags – for keeping items dry inside your kit / duffel bag

-Travel game i.e. chess, backgammon, and scrabble. (for luxuries) 

-Binoculars (for luxuries)

-Trail Map/Guide book (if you are alone)

Getting There: Nepal 

Between China's Tibet Autonomous Region and India, Nepal is a landlocked Himalayan nation. It has eight of the top ten mountains in the world, including Mount Everest. There are numerous points from China and India where one can enter Nepal by land. Tourist visas for Nepal are available on arrival at all Indian and Chinese borders if you are traveling there by land. There are numerous foreign airlines providing nonstop connecting flights to Nepal if you're arriving by air. Nepal Airlines, Turkish Air, Thai Airways, Gulf Air, Qatar Air, Jet Airways, Air India, Biman Bangladesh, Lufthansa, Oman Air, Travel Dubai, Air Arabia, and Air China are a few of the well-known airlines that fly to Nepal. From China or India, one can also go overland. Please check your flight and get in touch with us before arriving in Nepal. At the airport in Nepal, you can easily obtain a on arrival visa.

Visa and passport information

Except for Indian passport holders, all foreign visitors to Nepal need a visa; however, you must have a passport with a six-month validity date in order to apply for a tourist visa. At the Tribhuvan International Airport and the Chinese-Indian border in Tibet, visas are available on arrival. To apply for a visa to enter Nepal, you must have a color photograph in PP size. Please click this link for more details about Visa Information. 

Money exchange rate and prices

If you're seeking for the best foreign exchange rates and locations in Nepal, you may easily exchange the majority of your foreign currency at a local bank or authorized money exchange facility in a well-known tourist destination. The Nepal Rastra Bank controls all exchange rates (Center Bank of Nepal). You can exchange small amounts of money at the hotel if you want to. Because our banks will not take dirty or old notes, kindly bring clean and fresh notes.

In order to avoid the time-consuming processes associated with cards and traveler's checks, Nepalese people typically prefer cash in hotels, restaurants, shopping malls, and other locations. You can use an ATM to get cash (in Nepali Rupees) if you have a credit or debit card. In the main tourist city, there are a number of ATM counters with 24-hour service. If you use a card, the maximum withdrawal amount is between 30,000 and 35,000 rupees at once, plus a processing fee of 500 rupees. 

You must convert your money in Kathmandu or Pokhara before the hike because the majority of trekking routes do not offer a facility for international currency exchange. Additionally, inquire about the amount of money required for a Himalayan trek from your trekking operator or guide.

Safety and security

When traveling in Nepal, safety and security are crucial issues to consider both on the way to in and out. We are here for you at all times, and we promise to provide the greatest service to all of our cherished clients. Our guides have extensive training in the field of trekking and broad understanding of first aid items. Because it rises more than 4000 m above sea level, it is essential for hiking in Nepal. Because health is crucial, if a trekker becomes ill from the high altitude, our knowledgeable guide discusses the necessary medications and decides to continue the trek while organizing the emergency rescue.

You must be cautious when hiking trails pass one other because they are not wide enough to do so. During the busiest trekking season, there are lots of porters, yaks, mules, and Jokpe along the trail. You must stay on the safe side if you encounter them on a bridge or in a confined space because otherwise they may force you over the edge.

Safe drinking water

For a healthy body while traveling and staying hydrated, clean water is essential. It will be the most effective method of completing the Himalayan journey. If not, getting sick and having diarrhea is simple. Almost everywhere during the Nepalese tea house trip, but not during the camping trek, sells bottled water. Unfortunately, bottled water is very pricey. 

Please bring good water bottles (for boiling water) and water purification tablets or water filter bottles since plastic bottles are detrimental for the environment. Reusable water bottles are a good idea because they help keep the mountain clean. If you are concerned about finding a typical water tap to fill up your bottles in the trekking region of Nepal, they are very simple to locate. It can be found in rivers, streams, and lodges.

Travel insurance and insurance policy

Nepal hiking tours: The difficulty levels of the Himalayas range from easy to tough. As a result of the Himalayan climate changing, there is a risk of high altitude and potential mishap. 

Trekking in the Nepalese Himalayas demands practical trekking abilities at high altitudes (above 4,000 meters), so travel insurance is essential. If an accident occurs during a trip and requires medical attention or evacuation, the cost of returning to a city and receiving treatment may be significant. Therefore, you must ensure that your insurance covers the price of an air ambulance, medical care, and any risks associated with travel, such as delayed flights and lost, stolen, damaged, or missing baggage. Your complete itinerary while visiting Nepal should be covered by your insurance policy. Make sure your insurance policy covers hikes higher than 5,500 meters. If not, you will be responsible for all unforeseen costs associated with your trek through Nepal. 

All trekkers must send a copy of their certificate from their comprehensive travel insurance policy to High Pass Adventure as part of the booking process for trekking and climbing in Nepal.

High altitude sickness information

Mountain sickness is another name for high altitude sickness. You must be aware of high altitude sickness symptoms since they arise rapidly if you hike or ascend to a higher elevation. Here are some details if you're curious as to why it occurs. The air pressure is the main cause of altitude sickness. Your body needs time to adapt to the shift in air pressure when you travel to higher elevations since the air pressure decreases and there is less oxygen present. According to doctors, If you are at sea level, it begins at 8,000 feet (2400 meters).

1) Types 
There are three types of altitude sickness:

Acute Mountain Sickness (AMS): it is very common and symptoms feel like a tiredness, dizzy, headache, thirsty, muscle aches, nausea 

High Altitude Pulmonary Edema (HAPE): it is effect in the lungs, which can be very dangerous and hard to do life threatening

High Altitude Cerebral Edema (HACE): it is effective in the brain and most difficult to treat and you need to go to hospital attention the right way. 

2) Cause 
Following are the causes of high altitude sickness:

Generally living near sea level and travel to a high elevation 

Had the sickness before

Climbing quickly

Not being acclimatized to the altitude

Drinking alcohol when you ascend 

Medical problems of heart, nervous or lungs 

3) Symptoms
These symptoms will appear depending on your speed to climb and how hard you push. Symptoms range from normal to serious. They can affect the nervous system, lungs, muscles, and heart.

Here are symptoms of High Altitude Sickness:

Difficulty sleeping




Loss of appetite

Nausea or vomiting

Rapid Pulse (Heart Rate)

Short breath with action

Blue color of skin or gray soft skin 

Chest tightness or blocking


Dry cough or coughing with blood

Cannot walk in a straight line 

4) Prevention 
Important keys to preventing of High Altitude Sickness are:

Climb the mountain gradually. 

Stop every 2,000 feet (600 meters) of climb above 8,000 feet (2,400 meters) and one or two nights sleep there.

Sleep at a lower altitude when possible.

Make sure that you have the ability to quickly descend if needed.

Learn how to recognize early symptoms of mountain sickness.

If you plan on climbing quickly, or climbing to a high altitude, ask your provider about medicines that may help.

If you are at risk for a low red blood cell count (anemia), ask your provider if your planned trip is safe. Also ask if an iron supplement is right for you. Anemia lowers the amount of oxygen in your blood. This makes you more likely to have mountain sickness.

5) While climbing, you should follow these rules:
Drink plenty of water

Climb slowly.

Take it easy

Do not drink alcohol.

Eat regular meals that are high in carbohydrates.

Sleep lower elevation 

Take a medication (diomax) according to doctor 

Client Reviews

Ashaari Azizs

Ashaari Azizs


Mesokanto-La Pass via Tilicho Lake is Memorable Experience

14th June, 2023

We had visited in Nepal 3 times but never taken adventure and different less traveled route. This time we contacted to High Pass Adventure for Mesokanto La Pass with Tilicho Lake. This High Pass Adventure was recommended to us by one of our friend who had taken the same trekking route with them. Then we contacted them and we are very satisfied with answer of our all questions about this trekking route. 

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