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Makalu to Everest – 3 Cols Trek

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  • Jyatha, Thamel, Kathmandu, Nepal

Trip Costs: US$ 3450

Overview

The Makalu to Everest – 3 Cols Trek is one of the most adventurous and remote high-altitude trekking routes in Nepal, located deep within the Makalu-Barun National Park. This strenuous and awe-inspiring journey takes trekkers across three formidable Himalayan passes: Sherpani Col (6,135m), West Col (6,135m), and Amphu Laptsa Pass (5,845m), connecting the isolated Makalu Base Camp Trek to the Khumbu Everest Trek region. Starting from Tumlingtar, the trail gradually ascends through traditional Rai and Sherpa settlements, lush forests, and terraced fields, eventually reaching the high alpine valleys and glacial wilderness of the upper Barun region. This trek offers spectacular views of Makalu, Everest, Lhotse, Baruntse, Chamlang, and a host of other towering peaks, making it a visual feast for lovers of raw Himalayan grandeur.

The Makalu to Everest – 3 Cols Trek is not just a trek but a full-scale expedition, demanding exceptional physical fitness, mountaineering skills, and high-altitude experience. The three high passes are technically challenging, requiring the use of ropes, crampons, and ice axes, and are often covered in snow and ice year-round. Unlike most tea-house treks, this route requires full camping support due to the complete lack of accommodation facilities in the upper sections. The crossing of the cols involves glacier travel, crevasse navigation, and fixed rope ascents, often under extreme weather conditions. Despite its difficulty, the trek rewards adventurers with immense solitude, untouched wilderness, and views seen by only a few.

Culturally, the trek is equally enriching, as it begins in the ethnically diverse Arun Valley, home to the Rai, Sherpa, and Lhomi communities, and ends in the Khumbu region, where the influence of Tibetan Buddhism is deeply rooted. Trekkers witness a dramatic transition not just in landscapes, but in language, architecture, and tradition. The Makalu to Everest – 3 Cols Trek is a true Himalayan epic—grueling, remote, and utterly unforgettable. It is ideal for experienced trekkers or mountaineers looking for a serious challenge, who wish to explore one of the most isolated and wildest crossings in the entire Himalaya.

Trip highlights

  • Cross three high-altitude Himalayan passes: Sherpani Col (6,135m), West Col (6,135m), and Amphu Laptsa Pass (5,845m)
  • Explore the remote and untouched Makalu-Barun National Park, one of Nepal’s most pristine wilderness areas
  • Spectacular views of Mount Makalu (8,485m) – the fifth-highest mountain in the world
  • Witness panoramic Himalayan vistas including Everest, Lhotse, Baruntse, Chamlang, and Kanchenjunga range
  • Experience diverse ecological zones from subtropical forests to alpine glaciers
  • Trek through isolated Sherpa, Rai, and Lhomi villages in the lower Arun and Barun valleys
  • Authentic cultural encounters with minimal influence from modern tourism
  • Traverse glaciers, moraine fields, and ice-covered passes using technical mountaineering gear
  • Camp in remote high-altitude wilderness areas, far from any commercial infrastructure
  • Enter the Khumbu region via Amphu Laptsa Pass, finishing near Chhukung or Pangboche in the Everest area
  • Ideal for highly experienced trekkers and mountaineers seeking the ultimate Himalayan adventure
  • Various flora and fauna with the colorful forest of rhododendron
  • Endangered animals like Snow Leopard, Red Panda, Musk Deer, Wild Boar and more 420 varieties of birds

Detailed Itinerary

Day 01: Arrival in Kathmandu (1,400m)

As you fly into Kathmandu, you'll have beautiful views over the valley, the snow capped mountain peaks in Himalaya, and of the terraced fields below. As per your arrival time, our representative will be at the airport to receive you and transfer you to your booked hotel.
Overnight in Hotel

Day 02: Fully day sightseeing tour in Kathmandu

Today after the breakfast we will proceed for sightseeing tour in and around the Kathmandu valley. The Durbar Squares, Pashupatinath temple, Swoyambhunath temple and Boudhanath temple are the major sight-seeing areas around the Kathmandu valley. These all are listed in a world heritage sites. The Durbar Square shows us the regal life of ancient periods. Pashupatinath Temple is one of the most sacred Hindu pilgrimages. Swoyambhunath Temple and Boudhanath Stupa is the Buddhist temple which is very popular around the globe. Swoyambhunath is also known as money temple stands on the hilltop west of the Kathmandu valley. It can also be known as the viewpoint of Kathmandu valley. Boudhanath temple is the biggest Chhorten ever made around the world.
Overnight in Hotel

Day 03: Fly from Kathmandu to Tumlingtar (460m) – approx. 50 minutes & drive to Num (1490 m) by private jeep – approx. 3 hours

Your beautiful adventure in Nepal starts with an early morning flight from Kathmandu. 50 minutes of adventurous flight away from Kathmandu will take you to Tumlingtar. After reaching Tumlingtar, you drive toward Num via Khandbari (1022 m), Mane Bhanjyang (1105 m ) and Chichila (1850 m). To get to Khandbari, an important town in the region that houses government offices, you’ll need to drive for approximately 30 minutes along a winding, hilly road. The journey continues on a curving dirt track that climbs toward Mane Bhanjyang and to Chichila. Chichila is a small village at 1850 meters where you will encounter a police checkpoint. Here, you’ll need to present your Makalu Base Camp Trekking permit. The area offers beautiful views of tree- covered slopes. From Chichila you drive to Num where you accommodate in a tea house. The drive from Tumlingtar to Num typically takes between 4 to 5 hours, depending on the road conditions.
Overnight at Camp.
Meals Included: Full Board

Day 04: Trek from Num to Seduwa (1510 m.) – approx. 5 hours

The trail descends steeply for about 2 and half hours till a big river named Neguwa Khola. The trail passes through the suspension bridge and the trail ascends through forest and few traditional villages. People of this area are mainly engaged in agriculture and the crops grown here are paddy, millet, potatoes and vegetables depending upon season. There is a check post and local office of Makalu Conservation Area.
Overnight at Camp.
Meals Included: Full Board

Day 05: Trek from Seduwa to Tashigaon (2070 m.) – approx. 4 hours

The trail slightly ascends but major part of the trail is flat and easy through the bushes. While walking, you can villages at far distance. Tashigaon, surrounded by verdant forest is a big sherpa village. You find prayer flags fluttering in sky in and around village. The camping spot in this village is really praiseworthy.
Overnight at Camp.
Meals Included: Full Board

Day 06: Trek from Tashigaon to Khongma (3562 m) – approx. 7 hours

We climb over the ridge and ascend through forests to a stream and onto a ridge where there is a small campsite. The trail levels out, and then climbs to a shepherd’s hut called Chipla atop another ridge. We climb past two small streams, then switchback up the ridge in forests to a kharka at 2900 meters and up to a saddle and Unshisha, a tiny meadow at approx 330 meters. Here the trail joins the ridge that separates the Iswa and Kasuwa drainages. The slope gets steeper and becomes a series of moss-covered stone stairs to Dhara Kharka, a meadow atop the ridge. We then move over a hillock and descend a bit to reach Kauma (3470 m).
Overnight at Camp.
Meals Included: Full Board

Day 07: Rest and acclimatization day at Khongma

After an ascent of 1,400m yesterday we take a rest day to help our acclimatisation. This is essential as tomorrow we will cross Shipton La at an altitude of 4,216m. Today we have a morning walk along Khongma Danda (ridge) towards Shipton La. This is useful to help the acclimatisation process by following “climb high and sleep low”. There is a superb view from Khongma looking East towards Kanchenjunga.
Overnight at Camp.
Meals Included: Full Board

Day 08: Trek from Khongma to Dobato (3860 m), over the Khongma La, Sano Pokhari Danda, Shipton La, and Keke La - approx. 8 hours

Today is truly spectacular, crossing four high passes with airy traverses and dramatic ridge sections offering near-constant stunning views of snow-capped peaks. Be prepared for snow though if you are trekking in April. There is one lonely tea shop on the Shipton La, but it's likely that you won't have lunch until you reach Dobate so make sure you take plenty of snacks and water with you as it's a long, tough day (you may be given a packed lunch today). It takes around one hour of ascent through rhododendron bushes until you reach your first pass of the day - the Khongma La at 3,890m. From there, if it's clear, you'll see Makalu and Chamlang. You descend for a short while before ascending towards your second pass. There are views of Kangchenjunga to be had as you traverse an airy ridge. Some steep stone steps bring you to Sano Pokhari Danda at 4,105m with Sano Pokhari Lake below. To reach here from the Khongma La, takes around an hour, although it will be longer if negotiating your way through snow. More undulations bring you to the highest pass - the Shipton La at 4,200m. There's a tin shelter/tea shop here which serves thirsty, tired trekkers and pilgrims during the season. The pass is marked by a mani wall and cairn adorned with prayer flags near the shelter. It's quite a steep pull up to the Shipton La but not difficult.

You descend on less steep ground to Kalo Pokhari Lake at 4,080m. It's adorned with prayer flags and is visited by Hindu pilgrims during the Janai Purnima Festival. From the lake, it's an easier climb to your last pass of the day - the Keke La at 4,170m. Finally, a further 45 minutes or so of descent brings you to your lodge at Dobate - a very welcome sight after your four pass toils! There is a pretty good, clean lodge here with a friendly and welcoming owner. The dal bhat will taste especially good by way of reward for your exertions today.
Overnight at Camp.
Meals Included: Full Board

Day 09: Trek from Dobato to Yangle Kharka (3700 m) – approx. 7 hours

Our trek today is steep and dangerous in the start from Dobate. Trek should be done under guidance and precautions provided by experienced crew. The trail slowly goes flat on reaching Yangri Kharka.
Overnight at Camp.
Meals Included: Full Board

Day 10: Trek from Yangle Kharka to Langmale Kharka (4450 m) – approx. 6 hours

From Yangle Kharka you start by walking down to the river and a small monastery. The beginning is pleasantly flat, with the river to your left and the soothing scent of juniper in the air. Along the trail, you’ll pass many vibrant prayer flags. The scenery is stunning, with rugged snow-capped peaks, sheer cliffs, cascading waterfalls, and sacred caves creating a picturesque backdrop. As you arrive at Neha Kharka, you’ll spot the path to Shiva Dhara on your left. After few hours of walking you will reach Tadosha approximately at 4010 meters (13156 feet). This spot offers beautiful views of the surrounding peaks. The dramatic landscape features towering cliffs and prominent peaks like Peak 4 ( 6736 m / 22100 ft), Peak 6 (6758 m / 22172 ft), also called Tu Tse, and Yaupa (6432 m / 21102 ft), providing a stunning backdrop of rugged, snow- covered mountains, sheer cliffs, cascading waterfalls, and sacred caves. The trail widens as you pass the fields of Jhak Kharka (4120 m / 13517 ft. From Tadosha, it’s about a two-hour walk to Langmale (4410 m / 14469 ft). Peak 7 stands majestically behind the lodge rooms, enhancing the breathtaking scenery. In front of the rooms, you will find a mani wall adorned with colorful prayer flags.
Overnight at Camp.
Meals Included: Full Board

Day 11: Trek from Langmale Kharka to Makalu Base Camp (4900 m) – approx. 5 hours

As you start your ascent, you’ll follow a pleasant trail but should proceed slowly because the climb can be challenging at this altitude. Keep the river to your left as you wind through the valley, with each turn revealing a new, striking feature. Most of your trek today will be on a well- maintained, sandy path, which gently undulates with only a few steeper sections. After a few hours of walking, you’ll arrive at Shershong (4650 m / 15256 ft), a large, flat area with a small, locked stone house. This makes for a good camping spot. Here, the imposing face of Makalu (8463 m / 27766 ft) begins to appear, with its dramatic icefalls, crevasses, jagged edges, and seracs. As you navigate a few more bends, you’ll eagerly anticipate the sight of the base camp. Finally, after descending and crossing the river, you’ll reach your long-awaited destination – Makalu Base Camp (4870 m / 15978 ft). As expected, Makalu, the world’s fifth-highest peak, dominates the view.
Overnight at Camp.
Meals Included: Full Board

Day 12: Explore Makalu Base Camp

You’ll see the majestic Makalu towering above the clouds. Today, you have the option to climb to a ridge around 5300 meters (17388 feet) from base camp, which offers the most stunning panoramic views. To start, cross the river using a log bridge, then spend about three hours ascending on a misty, uneven path. From this vantage point, you can observe colorful tents of various expedition groups preparing for their Makalu ascent. The breathtaking panorama includes Makalu (8463 m), Lhotse (8516 m), and Everest (8848.86 m / 29031.69 ft). After taking in the views, return to base camp by retracing your steps. The round trip will take approximately 4-5 hours. Be prepared for a challenging climb due to the steep terrain and high altitude. Alternatively, if you prefer a shorter hike, you can do a brief ridge climb just above base camp to enjoy a clear view of Makalu and its reflection in Dudh Pokhari (lake), also called Barun Pokhari. Feel free to discuss other options with your guide.
Overnight at Camp.
Meals Included: Full Board

Day 13: Trek from Makalu Base Camp to Swiss Base Camp (5150 m) – approx. 5 hours

The trek to Swiss Base Camp presents some challenges, as it requires navigating through boulders while you follow the Barun Glacier beneath the imposing west face of Makalu. Swiss Base Camp itself is situated among the moraine, located in a sandy area directly facing the awe-inspiring West Pillar of Makalu. There are very few campsites in such proximity to these towering 8000-meter peaks. The day begins with a comfortable and gradual ascent. As the path progresses deeper into the valley, the Makalu and Barun glaciers remain visible on the right. After about half an hour of gentle ups and downs, the trek transitions into the glacial moraine, where the trail hugs the left side while the Barun glacier continuously looms to the right. The trail leads you along the ablation valley on the west side of the Barun Glacier, eventually following the lateral moraine. The route winds through this boulder-strewn landscape, steadily climbing toward a small clearing at the base of a gully on the left. Continuing through similar terrain for nearly an hour leads to another clearing, situated at the foot of another gully. Except for the initial hour, the trail becomes less defined, winding through loose rocks and boulders throughout. As you make our way through this stunning landscape, you’ll be treated to breathtaking views of Makalu’s West and North West ridges. As the trek progresses, the majestic peaks of Everest and Lhotse emerge at the far end of the valley. The path becomes increasingly rocky, winding through steep slopes as you continue our trek. After hours of walking, you will reach Swiss Camp (5150 m / 16896 ft), where you’ll spend the night, soaking in the beauty of our surroundings. It’s important to remember that weather conditions above 5000 meters (16404 feet) in the Himalayas can be unpredictable and harsh, so it is crucial to prepare adequately with appropriate clothing, safety gear, and altitude acclimatization.
Overnight at Camp.
Meals Included: Full Board

Day 14: Trek from Swiss Base Camp to Sherpani Col Base Camp (5688 m) – approx. 6 hours

As you approach the Sherpani Col Base Camp, the trail becomes less defined, requiring more boulder hopping, and the higher you climb, the more likely clouds may obscure your path. The trek begins with an hour of steep climbing on loose scree, leading us to the top of the ridge. From there, you’ll enjoy a brief, easy traverse before the trail gradually ascends through boulders, marked by scattered cairns along the way. After about half an hour, you’ll encounter a steep descent through an eroded section of the trail, where caution is essential due to the unstable footing. Once this precarious drop concludes, the path resumes its upward trajectory, guiding you to a small clearing. You’ll then face a very steep climb along the ridge above, reminiscent of our earlier ascent, which lasts just over an hour. At last, a comfortable 15-minute walk brings us to Sherpani Col Base Camp (5688 m / 18661 ft). The camp will be set up at the snout of the glacier with the Sherpani Col above you. The trail offers breathtaking views of the rugged landscapes and towering peaks that exemplify the grandeur of the Himalayas. Take a moment to soak in the sheer magnificence of your surroundings and prepare for the demanding crossing that lies ahead. Your journey into this stunning wilderness promises to be both exhilarating and rewarding.
Overnight at Camp.
Meals Included: Full Board

Day 15: Trek to Baruntse Base Camp (5400 m) via Sherpani Col (6180 m) – approx. 10 hours

Prepare for the longest and most challenging day of your trek as you head to Baruntse Base Camp. If conditions are favorable and the group maintains a good pace, you’ll attempt to cross both Cols in a single day i.e. East Col (6180 m / 20276 ft) and West Col (6143 m / 20154 ft). Staying close to the boulders on the right side of High Camp, the trail ascends before entering the glacier. As you reach the end of the valley, a towering wall looms ahead, requiring more than four hours to reach its base. Once there, you’ll spend another hour climbing to the top of the East Col (6180 m / 20276 ft), marked by prayer flags and remnants of old Korean ropes. It’s crucial to navigate this ascent and the subsequent descent with extreme caution, as loose rocks can pose significant risks. A fixed line of 150 meters is necessary to safely reach the bottom. From there, a brief climb on the glacier leads you to Baruntse Plateau, which takes about two and a half hours to traverse, hiking your way up to West Col (6143 m / 20154 ft). At the end of the plateau, you’ll encounter a sheer 250-meter drop, also marked by flags—though these can often be blown away or buried in snow. This spot offers spectacular views of both valleys. You’ll encounter sections that require roped travel and abseiling, and our experienced Sherpa guides and mountaineering leader will navigate the conditions, adapting plans as necessary based on snow and weather. After this technical descent, continue for another three hours along a well- defined trail to reach Baruntse Base Camp (5400 m / 17717 ft), where you can finally relax after a demanding day. Note that, however, it’s more probable that you will camp at Baruntse C1 on the West Col at 6100 meters for the first night and then descend into the Honku Valley the following day. It depends on environmental conditions and group’s pace.
Overnight at Camp.
Meals Included: Full Board

Day 16: Trek from Baruntse Base Camp to Amphu Laptsa Base Camp (5620 m) – approx. 5 hours

After completing the crossings of East Col and West Col, you’ll descend into the Honku Valley, where five expansive glacial lakes, known as Panch Pokhari (the five lakes) (5484 m / 17992 ft), stretch out before you. To your right, the Amphu Labsta pass marks the low point on the ridge between the Honku and Imja valleys. During your time in the Honku, a stunning panorama of peaks unfolds, including the majestic Ama Dablam to the west, alongside many unnamed summits. Amphu Labsta Base Camp (5620 m / 18438 ft) is situated close to the rocky slopes leading up to the pass. The trek to Amphu Laptsa Base Camp is a shorter journey, allowing you to arrive early and rest up. This rest is essential, as tomorrow you’ll tackle one of the most technical pass of the trek. Take advantage of this time to recharge and prepare for the challenges ahead.
Overnight at Camp.
Meals Included: Full Board

Day 17: Trek to Chhukung (4730 m) via Amphu Laptsa Pass (5845 m) – approx. 10 hours

The day is another big day for us. We will have an early start from the camp for 2-3 hours treks that lead us to the top of the pass and overlooking stunning views of the impressive south face of Lhotse and Lhotse Shar. You can also get an amazing view of the summit of Island or Imajatse Peaks which looks as if it could almost be even lower than our vantage point. As soon as the kitchen staffs and porters arrive at the pass, they will be lowered 150 meters to the relatively less steep ground below the pass. Similarly, loads have to be carefully lowered. After checking every member in the group, we will slowly and carefully descend with the help of ropes and an ice axe if required. We will stop after reaching the safe side from the pass. By the early afternoon, everybody should be off the snow. Once in the safe ground away from the snow and ice area, an hour or more walk will take us to the ablation valley by the side of the Imja Glacier. The walk will be more or less easier most of the way to the trekker's civilization at Chhukung, a temporary settlement with few teahouses and lodges.
Overnight in tea house.
Meals included: Breakfast, lunch and dinner.

Day 18: Trek from Chhukung to Tengboche (3980 m) – approx. 5 hours

Way down on the glacial morain then on a good trail leading to Pangboche small monastery passing Mingbo village. A tremendous view of Ama Dablam south-west face. Sometimes we may see some alpinists on the ridge with binoculars. With a piece of luck too, we may see the Yeti remains, amidst the deities and statues of a dark temple… After crossing the river on a bridge, we walk 2h through a very nice forest well kept by the Tengboche monastery monks. That place name means “the heelprint mountain”. Overnight in tea house.
Meals included: Breakfast, lunch and dinner.

Day 19: Trek from Tengboche to Namche Bazaar (3440 m) – approx. 6 hours

On the following day, you will trek back to Monjo via Namche 3440m taking 5 to 6 hours of time frame. Arriving in Namche you will visit the local shops from where you can buy the local handicrafts crafted by the natives. You can enjoy the cultures of the Sherpa people and their daily activities staying with them.
Overnight in tea house.
Meals included: Breakfast, lunch and dinner.

Day 20: Trek from Namche Bazaar to Lukla (2840 m) – approx. 8 hours

Leaving Namche Bazaar, we will trek back to Lukla, where our trek began. The trail offers a mix of uphill and downhill sections, passing through scenic landscapes and charming villages. This will be our last night in the Everest region, and we can celebrate the successful completion of our trek with our fellow trekkers and guides.
Overnight in tea house.
Meals included: Breakfast, lunch and dinner.

Day 21: Fly from Lukla to Kathmandu – approx. 35 minutes

You take an early morning flight back to Kathmandu. Overnight in Hotel.

Day 22: Rest day in Kathmandu.

You can explore around the Heritage sites in the city, stroll down the streets of Thamel for local cultural experience, visit nearby monasteries, relax at a nearby spa centers or do some souvenir haunting in the local bazaar. Overnight in Hotel

Day 23: Departure from Kathmandu.

As per your flight time you will be transferred to the airport for your flight back home or any other destinations. The airport check-in is 3 hours prior to the departure time and the hotel checkout time is 12 PM.

Or inform us if you want to stay longer for short tours such as Jungle Safari at National Parks, Mountain Biking, Rafting, a Tibet tour, a Tour to Bhutan or India Tour. We will be happy to assist you.

  • Trip facts

  • Trip duration : 23 days
  • Grade : Moderate to Fairly Challenging
  • Activity : Cultural sightseeing tour and trekking
  • Starts in : Kathmandu
  • End in : Kathmandu
  • Trek Type : Camping
  • Accomodation : Hotel / Tented Camp
  • Max Altitude : 6135 m

Cost Includes

  • Airport pick-up and drop off services by private A/C vehicle
  • 4 nights’ accommodation in Kathmandu on twin /double sharing basis with breakfast only
  • Sightseeing tour in Kathmandu with English Speaking local Tour Guide and entry fees
  • Meals on full board (breakfast, lunch, dinner, tea & coffee) during the trek prepared by our expert cook
  • Twin sharing tented accommodation during the trek
  • A Trekking Guide, Sherpa, necessary porters, their food, accommodation, salary, insurance, equipment
  • Trekking equipment (two men tent, dining tent, kitchen tent, table with chairs, kitchen utensils, and other necessary equipment during the trek)
  • Safe drinking boiled water will be provided during the trek
  • Transfer from Kathmandu to Tumlingtar and from Lukla to Kathmandu by domestic plane
  • First aid kit
  • All necessary permits and paper works including Dhaulagiri Trek special permits
  • All government and local taxes
  • Rescue assistance (In case of emergency, we will organize prompt and professional rescue services. To arrange timely evacuation/rescue by helicopter, you must be well insured from a reliable travel insurance company that covers both helicopter evacuation and medical treatment cost.)Farewell dinner in Kathmandu with live cultural performance at authentic Nepali restaurant on the last evening
  • All tax, VAT and company service charge

Cost Excludes

  • International flight & any other airfares
  • Nepal visa
  • Extra baggage charge if any (weight allowance 12kg+3 kg in domestic flight)
  • Personal gears & clothing (available on hire)
  • Tips for Guide, porters, drivers etc.
  • Any expenses incurred in emergency evacuation/road block due to any reason
  • Personal expenses such as table drinks, snacks while walking, hot water/shower, internet, telephone etc during the trek
  • Clients insurance and Medical expenses
  • Any other tours, transfers and hotel accommodations other than mentioned above
  • Lunch & Dinner in Kathmandu

Gallery

Extension Tours

Paragliding
Jungle Safari
Pokhara Tour
Rafting

Necessary Information

1. Visa to Nepal

You can obtain the Nepalese visa from Nepalese consulate in your country easily or upon your arrival at Tribhuvan International Airport in Kathmandu. For that, you require a valid passport with 2 copies of passport size photos. Similarly, A visa for Nepal can be obtained at Nepal India border entry point at Birgunj, Nepalgunj, Kakadvitta, Bhairahawa, Gaddachowki and Kodari on the Nepal China border. A15/30/90 day multiple entries Nepalese visa can be obtained by paying USD 30/50/125 or equivalent foreign currency respectively. For more information, please visit http://www.nepalimmigration.gov.np/page/tourist-visa

2. Welcoming upon your arrival in Nepal

We will be at the airport to welcome you upon your arrival to Nepal. We will be carrying the Raj BalaTreks & Expedition placard with your name underneath. From airport you will escorted to your hotel and we help you to check-in.

3. Health Issues and Vaccinations Requirement for Makalu – 3 Cols Trek

As vaccination requirements change frequently, we suggest you to consult your doctor at least 2 months prior to the beginning of your trip. We recommend protection against malaria, tetanus, typhoid, hepatitis and polio.

The main health consideration during Makalu Trekking is Acute Mountain Sickness (AMS). You may experience some mild symptoms initially, such as headache, lethargy, nausea and difficulty sleeping, but these should lessen within a few days. To avoid Acute Mountain Sickness (AMS), people take pills called ‘Diamox’. You can also use these pills after consulting with your doctor and purchase them in Kathmandu. Our itinerary will allow your body to acclimatize properly and handle the low oxygen rate. If you have ever suffered from altitude sickness, or have a heart or breathing complaint, we highly recommend you to consult your doctor about your suitability for trekking in high altitude areas before booking. We suggest that you take some pain-killing pills with you and enough medicine for cold, diarrhea, nausea and fever. Some nasal ointment and throat-moistening pills will greatly help for those who are sensitive to chilly or freezing weather conditions.

4. Difficulty Level of the trek

The Makalu – 3 Cols Trek is considered one of the most difficult and demanding treks in Nepal, suitable only for highly experienced trekkers or mountaineers. The trek involves crossing three extremely high and challenging mountain passes—Sherpani Col (6,135m), West Col (6,135m), and Amphu Laptsa Pass (5,845m)—which require technical climbing skills, use of crampons, harnesses, ropes, and sometimes ice axes. Trekkers must navigate through glaciers, crevasses, steep ice walls, and high-altitude terrain with minimal trail markings and no lodge infrastructure beyond Makalu Base Camp. The risk of altitude sickness, weather disruptions, and physical exhaustion is significantly high, and the remote nature of the route means emergency evacuation is challenging. This trek demands excellent physical conditioning, prior high-altitude experience, and mental resilience, making it one of Nepal’s ultimate expedition-style adventures for those prepared to face its extremes.

5. Trekking Type & Accommodation

The Makalu – 3 Cols Trek is a fully camping-based, expedition-style trek, as there are no teahouses or lodges available in the remote and high-altitude sections beyond Makalu Base Camp. While the lower parts of the trail—such as Tumlingtar to Tashigaon—offer basic teahouse or homestay accommodation, the upper reaches, including the crossings of Sherpani Col, West Col, and Amphu Laptsa Pass, require trekkers to be completely self-sufficient. All equipment, food, and supplies must be carried by a support team including porters, guides, and cooks. Tents are used for sleeping, dining, and cooking throughout the high-altitude camping section. This trekking style allows for flexibility and safety in extremely remote and unpredictable terrain. Due to its technical nature and lack of infrastructure, the trek is best organized through a specialized trekking company with expertise in high-altitude expeditions and wilderness logistics.

6. Food on the Trek

We provide three tasty, plentiful and nutritious meals daily with a variety of local and Western dishes. To start the day, breakfast consists of a choice of porridge, muesli and cereal followed by omelet, fried or scrambled eggs with chapattis or bread. Lunch is generally a selection of salad, cooked vegetable dishes, pasta and traditional breads.

After a long day on the trail, dinner is a hearty 3 course meal - soup, followed by a variety of vegetable, meat, rice and pasta dishes and completed with a simple dessert. Tea, coffee and hot chocolate are also provided at all meals. We use as much fresh produce as possible and special diets are regularly catered for. The leaders are able to maintain very tight controls on health and hygiene in the kitchen with respect to general cleanliness and food preparation and also within the group with respect to personal hygiene. This has allowed us to maintain remarkably high standards of health over many years of trek organization - and good health is vital to an enjoyable and successful trek and climb. All foods are well cooked and vegetables are treated by potassium permanganate or iodine. Boiled water is served for drinking. Antiseptic soaps and potassium or iodine treated water are provided for washing. Special dietary requirements can always be catered for.

7. A Typical Day on a Camping Trek in Nepal

Your typical day begins with a hot cup of tea brought to the tent at about 6 am, followed by a bowl of hot water for washing. After packing all your bags and having a good breakfast, we set off on the morning’s walk. All you need to carry is a small day pack containing water bottle, camera, sun cream, hat, rain jacket and a warm jumper, just in case. The porters will carry the rest of your gear for you. After walking for 3-4 hours, we stop for lunch at around midday. The afternoon’s walk is generally shorter and we arrive at camp in time for afternoon tea. The remainder of the afternoon can be spent exploring the nearby villages, doing a bit of washing or simply relaxing with a good book. On some days, we will arrive at camp by lunchtime and the entire afternoon will be free.

Dinner is usually served between 6 and 7 pm. After dinner, the evening will often be spent playing cards and talking with the crew, or perhaps even joining in some singing and dancing, before heading off to the tent for a well-earned sleep.

8. Land Transfers

You will fly from Kathmandu to Tumlingtar and further drive to Num. After the completion of the trek, you will be transferred by domestic flight from Lukla to Kathmandu.

9. Personal Expenses – Approximate money you should carry on the trek

Our 23 days Makalu – 3 Cols Trek cost is all inclusive of your accommodation, meals, permits and other official expenses.(See price includes and excludes section for more detail). Besides, other expenses depend on your spending habits. A USD 10-15 is sufficient to buy bottled water, snacks, chocolate bars, hot and cold drinks, and showers during the trek besides your included meals and accommodation.

10. Money Exchange

During the Makalu – 3 Cols Trek, money exchange and ATM access are virtually nonexistent once you leave Kathmandu and towns like Tumlingtar or Khandbari. All currency exchange must be done in Kathmandu before the trek, as no banks, ATMs, or foreign exchange counters are available on the trail.

It's essential to withdraw and exchange enough Nepalese Rupees (NPR) earlier in Kathmandu. Be prepared with small-denomination notes (e.g., NPR 100, 500) since large bills may be hard to break even in lower teahouses. Credit cards and traveler’s checks are only accepted in Kathmandu and Pokhara—not anywhere on the trekking route.

11. Tips

Tips are appreciated by your support team after the completion of your trekking in Nepal. The amount depends on your budget and appreciation of their work. As a suggestion, we advise that you can allocate 5- 10 % of the total tour cost as tips. It is recommended that you talk to the members and hand it over individually as per the hierarchy on the last day of the trek.

12. Facility of communication available on trek

Communication facilities on the Makalu – 3 Cols Trek are extremely limited, especially once you leave the lower settlements like Tumlingtar, Khandbari, and Tashigaon. In these areas, you may find mobile network coverage (mainly NTC and Ncell), but the signal is often weak and unreliable. As the trek progresses into the remote and high- altitude sections beyond Makalu Base Camp, including the Sherpani Col, West Col, and Amphu Laptsa Pass, there is no mobile coverage or internet access at all. Wi-Fi services are not available, and satellite communication is the only reliable method in these regions. Therefore, expedition groups often carry satellite phones or GPS tracking devices for safety and emergency use. Trekkers should inform family and friends in advance that they will be out of contact for several days, and always coordinate with experienced trekking agencies that include proper communication tools as part of their logistical support.

13. Luggage while trekking

During trek your main luggage will be carried by porters. You simply carry a day pack with water bottle, camera, sun-screen, spare jacket, etc. - a small load that allows full enjoyment of the trek. A trek bag is ideal for your main luggage, plus a small lockable bag for travel clothes or anything that you do not need during trek which you can leave at hotel’s locker room/safe deposit box in Kathmandu for free of charge. Weight allowance at Nepal’s domestic airlines is 15 Kgs, excess weight is chargeable at USD 1 or more per Kilo depending on sectors.

14. Physical Fitness

The Makalu – 3 Cols Trek is one of the most physically demanding treks in Nepal and requires exceptional fitness, endurance, and prior high-altitude experience. Trekkers must be capable of walking for 6 to 10 hours daily over steep, rugged terrain, often on snow, ice, and glacial moraines. The route involves climbing three challenging high passes—Sherpani Col (6,135m), West Col (6,135m), and Amphu Laptsa (5,845m)—which not only require physical strength but also technical skills such as using crampons, harnesses, and ropes. The remote and high-altitude environment means trekkers must be able to withstand extreme weather conditions, cope with thin air above 5,000 meters, and carry on for days without access to medical support or modern facilities. As such, this trek is only suitable for those with a high level of cardiovascular fitness, strong mental resilience, and previous trekking or mountaineering experience in the Himalayas or similar environments. A rigorous training regime of hiking, strength- building, and altitude conditioning is strongly recommended months before attempting this trek.

15. Climate & best time to do the trek

The main trekking season in Nepal is from October to mid-May when daytime temperatures at most altitudes are generally comfortable for walking, the sky is clear much of the time and rain and snow are occasional occurrences. Daytime temperatures will vary from 15ºC to 35ºC in the Kathmandu Valley to around 10ºC at 3,600m and progressively lower the higher we go.

Different seasons offer different advantages for trekking.

Post Monsoon/autumn: Mid-September to November. This is the main trekking season in Nepal. Day temperatures in Kathmandu are approximately above 20ºC. Skies are usually clear and days on trek are sunny and mild with clear mountain views. At the highest altitudes although the days can be nice and sunny the temperatures can drop to 10ºC and much lower. Nights will be colder with temperatures dropping as low as minus 10ºC and lower at the highest altitudes.

Pre-monsoon/spring: March to May. Both day and night temperatures will be warmer in general but haze will often build up in the afternoons. It is very hot in the lowlands and temperatures rise to 35ºC in Kathmandu. Flowers bloom in this season and this is one of the reasons people chose to trek in spring.

Snow can be expected on any departure, usually at the higher altitudes. Summit day will be a very early start (usually about 2am) and will be extremely cold. Although mostly it is calm and clear on summit day the mountain does occasionally get high winds. You need to be equipped for temperatures as low as minus 25ºC plus wind chill on summit day.

Please remember that in any mountain area the weather is never wholly predictable and you should be prepared and equipped to deal with any differences in weather beyond the conditions described above.

16. First Aid Kit

We supply a medical bag with standard medicines prescribed by trekking doctors and a user’s manual. Since our staffs/guides are not qualified for suggesting medications to western clients, we would request you to use the medicines upon your own risk. It is safer and more reliable if you have your own medicine kit and not depend on what we have.

17. Rescue /Evacuation

Your safety and security are our top priority, and we always make sure that nothing untoward happen to you. However, if anything serious like sickness or a casualty occurs, we will do everything to transfer you to the nearest hospital. As you are responsible for all the expenses incurred in evacuation, please make sure that it is covered by your insurance before assigning for it.

18. Drinking Water on the Trek

Drinking water is available throughout the Makalu – 3 Cols Trek, but trekkers must be cautious about purity and access, especially in higher and remote sections. In the lower regions such as Tumlingtar, Khandbari, and Tashigaon, water can be refilled at teahouses or local taps, though it should always be purified using tablets, filters, or UV sterilizers before consumption. As the trek ascends into the wilderness beyond Makalu Base Camp, water sources include glacial streams, rivers, and snowmelt, which are generally abundant but not treated or tested, making purification essential. Since the route passes through remote, uninhabited, and high-altitude terrain, it’s important to carry adequate water bottles or a hydration bladder and treat every source. Boiled water may be available at camps if you are with a guided expedition. To stay safe and hydrated, trekkers should plan to carry and purify their own drinking water at all times during this challenging and remote trek.

19. All our guides are certified guides

All our guides are certified and trained trekking leaders. Our guides are certified by the Nepal Academy of Tourism and Hotel Management (NATHM), Nepal. They have years of experience working in this line of work and know the different trekking trails of Nepal, mountain ranges, culture, and mountain sickness.

20. Booking Procedure

Your booking of this Makalu – 3 Cols Trekking will be confirmed by email once we receive your deposit of 20% of the total trip and the signed copy of booking form and contract. The balance is due no later than two months prior to departure. If you book a tour less than 2 months prior to departure, you must send the full payment within 7 days of confirmation by us.

21. Cancellation Policy

If you cancel your booking, the following scale of charges will apply:

  • 2 months before departure – Loss of deposit (20% of the total trip)
  • 29 days to 2 months before departure – 30% of total trip cost
  • 10 to 28 days before departure – 60% of total trip cost
  • Less than 10 days before departure – 100% of total trip cost

Additional Information

1. Where is Makalu - 3 Cols Trekking Region ?

The Makalu Trekking Region is located in the eastern part of Nepal, nestled between the famous Everest (Khumbu) region to the west and the Arun River Valley to the east. It lies within the boundaries of the Makalu-Barun National Park, a protected area known for its dramatic landscapes, rich biodiversity, and remote wilderness. The region is dominated by Mount Makalu (8,485 meters), the fifth-highest mountain in the world, and stretches from the lowlands of Tumlingtar (around 400 meters elevation) to the glacial heights of Makalu Base Camp (around 4,870 meters) and beyond. This area falls within the Sankhuwasabha District of Province No. 1 and can be accessed by a short domestic flight from Kathmandu to Tumlingtar, followed by several days of trekking through traditional villages and alpine terrain. The Makalu region remains one of the least explored and most pristine trekking destinations in the Himalayas, ideal for those seeking raw nature and solitude.

2. Why This Trek is a Special Experience?

The Makalu – 3 Cols Trek is a truly special experience because it combines the raw beauty of the Makalu-Barun wilderness with one of the most challenging and spectacular high-altitude crossings in the entire Himalayas. This epic journey takes you across three remote and icy passes—Sherpani Col, West Col, and Amphu Laptsa Pass—where few trekkers ever venture, offering unmatched solitude, untouched landscapes, and dramatic alpine scenery. Along the way, you’re rewarded with panoramic views of Everest, Makalu, Lhotse, Baruntse, and Chamlang, as well as a rich cultural tapestry of Rai, Sherpa, and Lhomi villages in the lower valleys. The sense of adventure is heightened by the technical challenges, remote camping, and glacier travel, making it feel more like an expedition than a standard trek. For those seeking an off-the-grid, high-altitude adventure that tests both body and spirit, the Makalu – 3 Cols Trek is an unforgettable and deeply rewarding Himalayan experience.

3. Who Can Do Makalu - 3 Cols Trek ?

The Makalu – 3 Cols Trek is designed for highly experienced trekkers, mountaineers, or adventure seekers who possess both excellent physical fitness and prior experience at high altitudes and technical terrains. This trek is not suitable for beginners or casual hikers, as it involves crossing three challenging high passes—Sherpani Col, West Col, and Amphu Laptsa—requiring the use of mountaineering gear such as crampons, ropes, and ice axes, along with glacier travel and steep ascents and descents. Trekkers should be comfortable camping in remote, high-altitude areas for extended periods without access to modern facilities. Those attempting this trek should have completed other high-altitude treks above 5,000 meters, and ideally have some technical climbing knowledge or experience. A strong mental attitude, ability to cope with harsh weather, and a willingness to face physical hardship are essential to successfully complete this expedition-style trek through one of Nepal’s most remote and demanding regions.

4. Makalu - 3 Cols Trek Distance

The Makalu – 3 Cols Trek covers an approximate distance of 180 to 210 kilometers (112 to 130 miles), depending on the specific route and side trips taken along the way. The trek usually begins from Tumlingtar in eastern Nepal and ascends gradually through the Arun and Barun valleys to reach Makalu Base Camp, before crossing three challenging high passes—Sherpani Col, West Col, and Amphu Laptsa Pass—and descending into the Khumbu (Everest) region, typically ending around Chhukung or Pangboche. Due to the rugged and remote nature of the terrain, the daily walking distance ranges from 10 to 15 kilometers, though the pace may slow significantly in high-altitude and technical sections. The trek generally takes 25 to 30 days to complete, including acclimatization and weather contingency days. While the distance may not seem extreme compared to other long treks, the technical challenges, elevation, and isolation make this route one of the most demanding in the Himalayas.

5. Flora and Fauna on Makalu - 3 Cols Trek Region

The Makalu – 3 Cols Trek region, which passes through the heart of the Makalu-Barun National Park, is one of the most ecologically diverse and biologically rich areas in the Himalayas. The trail covers a dramatic range of altitudes—from lush lowland forests to high alpine and glacial zones—supporting an extraordinary variety of flora and fauna. In the lower elevations, trekkers walk through dense forests of rhododendron, fir, oak, bamboo, and pine, where flowering plants such as orchids and magnolias thrive, especially in spring. As the trail ascends, the vegetation gradually gives way to alpine meadows and rocky landscapes. The region is also home to rare and endangered wildlife, including the red panda, Himalayan black bear, snow leopard, musk deer, and many species of langurs and monkeys. Bird lovers will find this area particularly rewarding, with sightings of over 400 bird species, including the colorful Himalayan monal (Danphe)—Nepal’s national bird. The untouched and protected nature of this region makes it a true sanctuary for wildlife and a paradise for nature enthusiasts.

6. Makalu - 3 Cols Trek Equipments and Gears

Below is a list of equipment and clothing required for Makalu - 3 Cols Trek. Appropriate trekking gears are not only required for the comfort/pleasure of your trek but also to improve safety factor.  Please have a look over these items in order to fully prepare and thoroughly enjoy the trekking.

Head, face, and neck

  • Sun hat or cap (day)
  • Fleece beanie/woolen cap (night)
  • Balaclava (optional)
  • sunglasses
  • Sunscreens
  • Moisturizers
  • Lip Balm
  • Face towel
  • Scarf
  • Neck gaiters

Upper Body

  • T-shirts (preferably quick-dry and breathable) (day)
  • Parka/windbreaker (day)
  • Rain gear/poncho
  • Inner thermal (at night)
  • Fleece T-shirts (night)
  • Fleece jacket
  • Down jacket (night)

Lower Body

  • Undergarments
  • Trekking pants (preferably stretchable, quick-dry, and water-resistant) (day)
  • Rain gear
  • Inner thermal (at night)
  • Fleece/wool pants (night)
  • Hands
  • Light/outdoor gloves (day)
  • Warm winter gloves, fleece or woolen gloves (night)

 Legs

  • Thin socks (day)
  • Warm woolen socks (at night)
  • Hiking boots (preferably GORE-TEX) with spare shoelaces
  • Floaters or sandals
  • Knee support (optional)

Essential Items

  • Passport
  • Extra passport-size photos (min. 2) for trekking permit
  • Cell phone and charger
  • Money
  • Backpack and rain jacket
  • Duffel bag*
  • Padlocks
  • Rain cover and a day pack (30L)
  • Trekking pole
  • Sleeping Bag
  • Personal medicine
  • water bottle

Toiletries

  • Toothpaste and toothbrush
  • Facial wash, soap, and shampoo
  • Tissues or wet wipes
  • Toilet rolls
  • Hand sanitizer
  • Quick-dry towel
  • Handkerchiefs (optional)
  • Basic first-aid kit

 Others (Optional)

  • Thermo flask
  • Portable water filter/purification tablets
  • Earplug
  • A Universal Adaptor
  • Camera, memory card, and charger
  • Reading books or maps
  • Binoculars
  • Watch
  • Snack

 

7. Alternative Trips in Makalu Trek Region

If you are looking for alternative treks into this beautiful region, we have more options for this trekking region.

  1. Arun Valley Trek
  2. Makalu Base Camp Trek
8. Kathmandu Accommodation for Makalu - 3 Cols Trek

Upon arrival in Kathmandu, you will be promptly transported to your designated hotel, a comfortable and well-maintained 3 star hotel. Your stay includes twin-sharing/double accommodation with breakfast. All the rooms have a private bathroom, TV, and ample storage for your luggage.

If you desire a more exclusive experience, you can upgrade to single occupancy or enhance your stay to a 4- or 5-star hotel at an additional charge.

9. Attached Toilet / Bathroom Facilities During Makalu - 3 Cols Trek

Attached toilet or bathroom facilities are virtually nonexistent during the Makalu – 3 Cols Trek, especially in the remote and high-altitude sections beyond Makalu Base Camp. In the lower regions such as Tumlingtar, Num, and Tashigaon, a few basic teahouses may offer simple rooms with shared toilets, but attached bathrooms are very rare and often rudimentary. Once the trek enters the wilderness and camping zones, all accommodation shifts to tents, and sanitation facilities are limited to portable toilet tents or natural outdoor options. There are no permanent structures in the upper parts of the trail, so trekkers must be prepared for minimal hygiene and basic sanitation practices. It’s essential to carry personal toiletries, biodegradable wipes, and hand sanitizer, and maintain cleanliness with respect to the fragile environment. Guided expedition teams usually manage toilet arrangements with portable setups, ensuring greater hygiene and privacy in remote campsites.

10. Travel Insurance for Makalu - 3 Cols Trek

Having travel insurance that covers high-altitude adventure activities (above 5,000 m) is mandatory. This includes contingencies like flight disruptions, accidents, and emergency evacuations.

You can buy such insurance online from various providers. Some of the common choices based on client experiences for Makalu - 3 Cols Trek include:

    USA and Canada: Tugo, United Health Care, World Nomad, Blue Cross

    Australia and New Zealand: Fast Cover, Allianz Australia

    Singapore: Ergo, World Nomad (Explore plan level 3)

    Europe: Europe Assistance, Austrian Alpine Club, Allianz Europe

    India: ICICI Lombard

However, please ensure that the policy covers trekking up to 6,000 m altitude. While these are just suggestions, the policies, and coverage may vary accordingly. Contact these insurers directly to inquire about their offerings before making a purchase.

11. Phone and Gadgets Charging

Phone and gadget charging facilities are extremely limited on the Makalu – 3 Cols Trek, especially beyond the lower settlements like Tumlingtar, Khandbari, and Tashigaon. In these areas, you may find sporadic electricity or solar power in teahouses where basic charging is possible, sometimes for a small fee. However, once the trek enters the remote wilderness and high-altitude camping zones, including Makalu Base Camp and the three cols, there is no access to electricity or charging stations. Trekkers must be completely self-reliant and are strongly advised to carry high-capacity power banks or portable solar chargers to keep essential devices like phones, cameras, GPS, and headlamps functional. Using devices in battery-saving mode and turning off non-essential functions can help extend battery life. Communication and navigation depend heavily on your own equipment, so careful planning and power management are essential for this remote expedition.

12. Group Departure Treks & Private Treks

We conduct Group Departure Treks as well as Private Treks. If you have your own group, we provide you discounts based on your group size.

However, you will not get discounts for groups we assemble or our Fixed Group Departure Treks. For a group of 12 or more, we add an assistant guide. You can choose to conduct a private trek exclusively for your team.

13. Trip Extension

After completing the trek and tour, you may want to stay a couple of days extra in Nepal. There are many beautiful and adventurous places in Nepal.

You can spend your time in various ways, such as sightseeing in Kathmandu, Nagarkot View Trip, Chitwan Jungle Safari, paragliding, White Water Rafting, and canoeing before flying back.

14. Guide to Overcoming Challenges on Makalu - 3 Cols Trek

Makalu - 3 Cols Trek is a challenging trek and incredibly rewarding adventure. A good level of physical fitness is required because it involves walking for several hours a day, frequently uphill, and at high altitudes. We highly recommend that you keep up a regular exercise routine for weeks before the hike. If you have any health issues, consult with your doctor before starting the hike.

Here are some tips to help you overcome difficulties during the trek and make the most of it:

Physical Preparation

We recommend you start fitness training before your trek. Focus on cardiovascular exercises, strength training, and endurance activities. Incorporate uphill and downhill walking into your training to simulate the trek's terrain.

Altitude Acclimatization

This extraordinary trek usually starts from Tumlingtar, which is accessible by domestic flight from Kathmandu. The trek to Makalu - 3 Cols Trek region involves a gradual ascent, allowing your body to acclimatize to the increasing altitude. Our itinerary grants your body time to adapt to the increasing altitude, reducing the risk of altitude-related illnesses. As you venture deeper into the Makalu - 3 cols trekking region, the air gets thinner, the temperatures drop, and the landscapes become more surreal.

 Hydration and Nutrition

 You may have heard that everyone should drink eight glasses of water a day. Our guides are trained to keep you well-hydrated throughout the trek. We recommend you drink as much water as you can. Consume a balanced diet rich in carbohydrates, proteins, and essential nutrients. Eating light but frequent meals is recommended. Keep a nutrition bar in your day bag.

Pacing and Rest

Rest is essential for acclimatization and overall well-being. Pace yourself during the trek. Avoid rushing to prevent exhaustion and altitude-related issues. Listen to your body and our guide. Always take breaks as needed.

Proper Gear

We recommend you invest in high-quality, certified trekking gear, including comfortable and sturdy boots, warm clothing, a good backpack, a day bag pack, and other essential equipment. Dress in layers so that you can easily adjust to changing temperatures and conditions.

Mental Preparation

Stay positive and focused. A positive mindset can help you overcome challenges more effectively. If you have any issues that come to mind, kindly share them with our guide.

Our guides and porters are experienced in the Makalu - 3 cols trekking region. They can provide valuable insights and assist with logistics, allowing you to focus on the trek itself.

15. Medical Facilities at Makalu - 3 Cols Trek Region

Medical facilities along the Makalu – 3 Cols Trek are extremely limited and often non-existent, particularly in the remote and high-altitude sections of the trail. In the lower areas such as Tumlingtar, Khandbari, and Num, there may be small health posts or local clinics that can handle only basic illnesses or minor injuries. However, once the trek enters the wilderness beyond Tashigaon and into the high alpine zones, there are no permanent medical facilities at all. Trekkers must be entirely self-sufficient, carrying a comprehensive personal first aid kit with medications for altitude sickness (AMS), gastrointestinal issues, pain relief, wound care, and dehydration. As the trek involves high-altitude passes over 6,000 meters and glacier travel, the risk of injury, altitude sickness, and weather-related illness is significant. For this reason, it is crucial to travel with an experienced team, and to have emergency evacuation insurance, as rescue operations are challenging and time-consuming in such a remote region. 

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