ail altitude varies quite significantly and people often struggle with altitude sickness, especially if they have not spent much time in Cusco prior to trekking the trail.
Cusco stands at 3,200 metres and is already significantly higher than Machu Picchu itself, however, many sections of the Inca Trail are much higher.
Starting at 2,600 metres, the trail ascends to 3,300 metres on the first day. The second day ascends over Dead Woman's pass- the highest point on the Inca Trail at 4,200 metres. This is the most dangerous point in terms of altiude sickness, however, you do not spend long at this altitude and by the afternoon you'll be back at 3,600 metres.
The trail only descends from this point until you reach Machu Picchu at 2,430 metres.
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