It’s Never Too Late to Fulfill This Dream
“I’m 60, 65, 70 years old… Can I still do the Inca Trail?” — The answer is YES, and this guide shows you how.
The Question Many Don’t Dare to Ask
Every month we receive messages like these:
“I’m 63 years old and always dreamed of Machu Picchu. Is it too late to walk?”
“My wife and I turn 70 this year. Would it be crazy to attempt the Inca Trail?”
“My children say I’m crazy for wanting to do this at 67. Are they right?”
The direct answer: It’s not too late. It’s not crazy. And your children are probably wrong.
In more than 15 years of operation, we have successfully taken hundreds of travelers over 60 years old to the Inca Trail. Our oldest participant completed the trek at 74 years old.
Age is a number. What matters is your health, your preparation and your determination.
What This Article Will Give You
Honest assessment of whether you can do it Specific medical considerations for older adults Advantages you have because of your age (yes, there are some) Adapted preparation plan Which segment to choose for greater comfort Alternatives if the 4-day trek isn’t suitable Testimonials from 60+ travelers who succeeded Practical tips from our guides
The Truth About Age and the Inca Trail
Let’s talk with data, not assumptions.
Real Statistics from Our Groups
Age Range | % of Travelers | Success Rate |
18-30 years | 35% | 98% |
31-45 years | 30% | 97% |
46-59 years | 25% | 96% |
60-69 years | 8% | 94% |
70+ years | 2% | 91% |
What these numbers show:
Why Do Over 60s Succeed?
Paradoxically, older adults often have advantages over young people:
Advantage | Why It Matters |
Patience | Don’t try to go fast, respect appropriate pace |
Life experience | Know how to handle discomfort and effort |
Determination | If they decided to do this, they’re 100% committed |
Better preparation | Tend to take preparation more seriously |
Less ego | Don’t compete with others, go at their own pace |
Mental attitude | Know that mind can overcome body |
Available time | Many are retired and can acclimatize more days |
What DOES Change with Age
Let’s be honest about factors requiring attention:
Factor | Reality | Solution |
Slower recovery | Body takes longer to recover from daily effort | Slower pace, more breaks, better sleeping equipment |
Greater altitude sensitivity | Some studies suggest more altitude sickness risk | Longer acclimatization (3+ days), possibly Diamox |
Pre-existing conditions | More likelihood of hypertension, diabetes, heart problems | Mandatory medical consultation, personalized plan |
Knees and joints | Natural wear, more sensitivity on descents | Mandatory poles, slow pace on descents |
Thermoregulation | More sensitivity to nighttime cold | Better sleeping bag, more layers |
Medications | Probably take regular medication | Carry sufficient, inform guide |
Medical Evaluation: The Most Important Step
Before booking, you need medical clearance. This is not optional.
Mandatory Consultation with Your Doctor
Schedule an appointment specifically to discuss the Inca Trail. Bring this information:
Trek Data | Value |
Duration | 4 days walking |
Distance | 43 km total |
Maximum altitude | 4,215 meters |
Cusco altitude | 3,400 meters |
Daily effort | 5-8 hours walking |
Nights | Camping at 3,000-3,600 m |
Nighttime temperatures | Down to -5°C |
Access to medical care | Limited (evacuation can take hours) |
Questions Your Doctor Should Answer
Question | Why It Matters |
Can my heart handle sustained effort at altitude? | Altitude increases heart rate |
Do my medications work the same at altitude? | Some medications have interactions with altitude |
Should I adjust any medication dose? | Altitude can affect absorption and effects |
Can I take Diamox with my current medications? | Possible interactions |
Is there anything in my history that contraindicates this? | Recent surgeries, cardiac events, etc. |
Do I need additional tests? | Echocardiogram, stress test, etc. |
Conditions Requiring Special Evaluation
Condition | Consideration |
Hypertension | Generally OK if well controlled. Altitude can temporarily increase pressure. |
Diabetes | Possible if controlled. Need glucose management plan during effort. |
Previous heart problems | Depends on severity and time since event. Requires cardiological evaluation. |
COPD / Asthma | Mild to moderate may be OK. Severe is contraindication. |
Arthritis | Knees will suffer. Evaluate severity and pain management. |
Hip/knee surgery | Generally OK after complete recovery (1+ year). |
Sleep apnea | Altitude can worsen it. Consider portable CPAP equipment. |
Osteoporosis | Greater fracture risk in falls. Evaluate risk. |
Absolute Contraindications
You should NOT do the Inca Trail if:
❌ You’ve had a heart attack or cardiac event in the last 6 months
❌ You have uncontrolled heart failure
❌ You have severe COPD requiring oxygen
❌ You have unstable angina
❌ You’ve had a recent stroke
❌ You have severe uncontrolled hypertension
❌ Your doctor specifically prohibits it
In these cases: Machu Picchu is still possible by train. The Inca Trail is not the only way to get there.
Recommended Tests Before Trip
Test | What For |
Complete general checkup | Current health state |
Electrocardiogram (ECG) | Basic heart function |
Stress test | How your heart responds to exercise (recommended 60+) |
Blood tests | Hemoglobin, glucose, kidney function |
Knee evaluation | If pre-existing pain |
Physical Preparation Plan for Over 60s
Preparation is even more important for older adults. We recommend 4-6 months of preparation (more than the 2-3 months for younger people).
Training Principles for 60+
Principle | Application |
Gradual progression | Increase intensity very slowly, 10% per week maximum |
Adequate recovery | At least 1-2 rest days between intense sessions |
Listen to body | If it hurts, stop. Don’t “push” through pain. |
Consistency over intensity | Better to walk 30 min daily than 2 hours once a week |
Extensive warm-up | Minimum 10 minutes before any activity |
Stretching | After each session, focus on legs and back |
16-Week Plan for Over 60s
Weeks 1-4: Gentle Base
Day | Activity | Notes |
Monday | Gentle walk 20-30 min | Flat terrain |
Tuesday | Rest or stretching | 15 min gentle stretching |
Wednesday | Gentle walk 20-30 min | Flat terrain |
Thursday | Rest | – |
Friday | Gentle walk 25-35 min | Include 1-2 blocks with mild slope |
Saturday | Longer walk 40-50 min | Comfortable pace |
Sunday | Active rest | Very gentle stroll or gentle yoga |
Week 4 goal: Be able to walk 1 hour continuously without pain or excessive fatigue.
Weeks 5-8: Build Endurance
Day | Activity | Notes |
Monday | Walk 40-45 min with slopes | Look for gentle hills |
Tuesday | Stairs or stretching | 5-10 floors total (with breaks) |
Wednesday | Walk 35-40 min | Include climbs |
Thursday | Rest or yoga | – |
Friday | Walk 45 min with light backpack | 2-3 kg |
Saturday | Long walk 1.5-2 hours | With some slopes |
Sunday | Rest | Gentle stretching |
Week 8 goal: Be able to walk 2 hours with some elevation gain without problems.
Weeks 9-12: Increase Specificity
Day | Activity | Notes |
Monday | Walk 50 min with slopes | More elevation |
Tuesday | Stairs 10-15 floors + gentle leg exercises | See routine below |
Wednesday | Walk 45 min with backpack | 4-5 kg |
Thursday | Rest or yoga | – |
Friday | Walk 50 min varied | Ups and downs |
Saturday | Long walk 2.5-3 hours | With light backpack, look for trails |
Sunday | Rest | – |
Gentle leg exercises for 60+:
Exercise | Repetitions | Sets | Notes |
Chair squats | 10-12 | 2 | Lower until almost touching chair, rise |
Calf raises | 15 | 2 | Support on wall if necessary |
Side step with band | 10 each side | 2 | If you have elastic band |
Glute bridges | 12 | 2 | Lying down, raise hip |
One leg balance | 30 sec each | 2 | Support if necessary |
Week 12 goal: Be able to walk 3 hours with 5 kg backpack and moderate elevation gain.
Weeks 13-16: Final Preparation
Week | Focus |
13 | Long walk of 4+ hours on weekend. Trek day simulation. |
14 | Maintain activity but start reducing intensity. Long walk of 3 hours. |
15 | Reduce to 70% intensity. Walks of 2 hours maximum. |
16 | Trip week. Only gentle walks. Prioritize rest. |
Special Training Considerations
If you have knee problems:
If you have back problems:
If you have diabetes:
Acclimatization: Why You Need More Time
Older adults can be more sensitive to altitude. We recommend extended acclimatization.
Ideal Acclimatization Plan for 60+
Day | Activity | Altitude | Purpose |
Day 1 | Arrival in Cusco. Absolute rest. | 3,400 m | First contact with altitude |
Day 2 | VERY gentle walk around center (1-2 hours max). Lots of rest. | 3,400 m | Initial adaptation |
Day 3 | Gentle tour: Sacsayhuamán or historic center. | 3,400-3,700 m | Light activity |
Day 4 | Sacred Valley (Urubamba, Ollantaytambo). | 2,800-2,900 m | Sleep lower = better recovery |
Day 5 | Free day or Moray/Maras. Relax. | 2,800-3,500 m | Consolidate acclimatization |
Day 6 | INCA TRAIL START | 2,720 m | Already acclimatized |
Comparison:
Profile | Acclimatization Days |
Healthy young person | 2 days minimum |
Adult 40-59 | 2-3 days |
Adult 60+ | 3-5 days recommended |
Adult 60+ with conditions | 4-5 days minimum |
Signs You’re Acclimatizing Well
Positive Sign | What It Means |
Mild headache that improves with days | Normal, your body adapts |
Initial fatigue that decreases | Acclimatization progressing |
Sleep that improves after night 1-2 | Body adapting |
Appetite returns | Good sign |
Can climb stairs without excessive panting | Ready for trek |
Signs You’re NOT Acclimatizing Well
Warning Sign | Action |
Headache that worsens each day | Consult local doctor, consider descending |
Persistent nausea/vomiting | Medical attention |
Breathing difficulty at rest | Urgent medical attention |
Confusion or disorientation | Emergency |
Severe insomnia (not sleeping at all for 2+ nights) | Consult doctor |
If you have acclimatization problems before trek: It’s better to postpone start than start poorly. Talk to us.
Altitude Medications for Older Adults
Acetazolamide (Diamox):
Aspect | Consideration for 60+ |
Is it safe? | Generally yes, but more possible interactions |
Dose | Generally the same, but consult doctor |
Interactions | With diuretics, diabetes medications, some antihypertensives |
Side effects | May be more pronounced: tingling, increased urination |
Recommendation | ALWAYS consult with your doctor before |
Natural alternatives:
Which Segment to Choose for Greater Comfort
For older adults, we strongly recommend segments with more comfort.
Segment Comparison for 60+
Aspect | Explorer | Adventure | Summit |
Price | $780-$820 | $950-$990 | $1,400-$1,480 |
Group size | Up to 16 | Up to 10 | Up to 6 |
Tent | Shared (2-3) | Improved shared | Individual |
Sleeping bag | Rental | Included (-15°C) | Premium (-20°C) |
Mattress | Basic | Inflatable | Premium |
Personal attention | Standard | Greater | Maximum |
Guide/traveler ratio | 1:16 | 1:10 | 1:6 |
Recommended 60+ | ⚠️ Only if very fit | ✅ Good option | ✅✅ Best option |
Why Summit Segment is Ideal for 60+
Benefit | Why It Matters for 60+ |
Individual tent | Your own space, better rest, don’t wake roommate if you get up at night |
Premium sleeping bag (-20°C) | More warmth, crucial for reduced thermoregulation |
Premium mattress | Better support for back and joints |
Small groups (6 pax) | More personalized pace, more guide attention |
Pillow included | Comfort for neck and back |
Dedicated chef | Possibility to adjust meals if you have restrictions |
Post-trek massage | Muscle recovery (included in Summit) |
Our Recommendation by Age
Age | Condition | Recommended Segment |
60-64 years | Very active, no conditions | Adventure or Summit |
60-64 years | Moderately active | Summit |
65-69 years | Any condition | Summit |
70+ years | Any condition | Summit (strongly) |
The price difference between Adventure and Summit ($400-500) is an investment in your comfort and recovery. For older adults, it’s worth every penny.
The Trek Day by Day: Perspective for 60+
What to expect each day when you’re 60+ years old.
Day 1: Prudence from the Start
What you’ll feel:
Specific tips for 60+:
Tip | Why |
Go slower than group if necessary | Establish your pace from start |
Don’t hesitate to ask for extra breaks | Guides are prepared |
Constant hydration | More crucial for 60+ |
Take your normal medication | Maintain your routine |
Protect yourself from sun | More sensitive skin |
Day 2: The Greater Challenge
The reality for 60+:
This day is difficult for everyone, and for older adults it can be especially challenging. However, with the right approach, it’s completely possible.
Specific strategy for 60+:
Strategy | How to Apply |
Start first | Ask to start 15-30 min before group if you go slower |
Ultra slow pace | Slower than you think necessary. If you can talk without panting, good. |
Frequent breaks | Every 20-30 minutes, even if brief |
Don’t look up | Focus only on next step |
Constant snacks | Small bites every 30 min maintain energy |
Use oxygen if necessary | Not sign of weakness, it’s a tool |
Communicate symptoms | Any dizziness, chest pain, breathing difficulty — SAY IT |
Day 3: Careful with Descents
The specific challenge for 60+:
The extensive descents with thousands of steps are harder for older adults than climbs. Knees and joints suffer more.
Strategy for descents:
Technique | Benefit |
Always poles | Reduce knee impact 25-30% |
Short steps | Less impact than long steps |
Very slow pace | Don’t rush, even if seems “easy” |
Zigzag if very steep | Reduces effective slope |
Breaks for knees | Stop before they hurt |
Preventive ibuprofen | Consult doctor, some take before long descents |
Day 4: The Reward
Considerations for 60+:
Tip: If the guided tour of Machu Picchu is too exhausting, you can sit to rest at designated points. Guide understands.
Alternatives if 4-Day Trek Isn’t Suitable
If after reading all this you feel the 4-day trek isn’t for you at this time, you have excellent alternatives.
Alternative #1: 2-Day Inca Trail (Highly Recommended for 60+)
Aspect | 4-Day Inca Trail | 2-Day Inca Trail |
Distance | 43 km | 12 km |
Maximum altitude | 4,215 m | 2,700 m |
Camping nights | 3 | 0 (hotel in Aguas Calientes) |
Difficulty | 6-7/10 | 4-5/10 |
Shower | No | Yes |
Arrival at MP | Through Intipunku | Through Intipunku (same) |
Why is it ideal for 60+?
Our recommendation:
If you’re 70+ years old, or have medical conditions that concern you, or simply prefer something gentler, the 2-day Inca Trail is an excellent and worthy option. You arrive walking at Machu Picchu the same. It’s not “less” experience, it’s different experience.
Alternative #2: Machu Picchu by Train + Short Walks
If the complete trek isn’t viable:
Option | Description |
Train to Machu Picchu | Comfortable arrival, no excessive effort |
Climb Huayna Picchu | Short but steep walk inside Machu Picchu (2-3 hours) |
Climb Machu Picchu Mountain | Longer but less steep walk (3-4 hours) |
Walks in Sacred Valley | Moray, Maras, Ollantaytambo — ruins without extreme altitude |
This option allows you to see Machu Picchu and do moderate physical activity without the commitment of complete trek.
Alternative #3: Salkantay with Lodges
The Salkantay Trek offers versions where you sleep in lodges each night:
Aspect | Detail |
Duration | 5 days |
Accommodation | Lodges with beds, hot showers |
Meals | In lodge restaurants |
Maximum altitude | 4,630 m (higher than Inca Trail) |
Arrival at MP | By bus (not walking) |
Pros for 60+: Much more nighttime comfort. Cons: Longer, higher altitude, don’t arrive walking at MP.
How to Decide
Your Situation | Our Recommendation |
60-69, good health, adequate preparation | 4-day Inca Trail (Summit segment) |
60-69, controlled conditions, some doubt | 2-day Inca Trail |
70+, good health, very determined | 4-day Inca Trail (Summit segment) with extensive preparation |
70+, any doubt about capacity | 2-day Inca Trail |
Significant cardiac/respiratory conditions | 2-day Inca Trail or train |
Serious mobility problems | Machu Picchu by train |
Frequently Asked Questions for Over 60s
Is there a maximum age limit for the Inca Trail?
There’s no legal limit. The Ministry of Culture doesn’t prohibit by age. The decision is yours, your doctor’s, and your agency’s. Our oldest participant was 74 years old.
Is there discount for older adults?
The Inca Trail permit doesn’t have age discount (unlike some tourist sites in Peru). Price is the same for all adults.
Can I bring my medication for pressure/diabetes/etc.?
Yes, and you MUST. Bring enough for entire trip plus extras just in case. Inform agency what medications you take.
What happens if I go slower than the group?
Our guides are trained to handle different paces. If you go slower, a guide or assistant will walk with you. We’ll never leave you behind. In Summit segment, with groups of only 6 people, pace is more personalized.
Can I hire a private trek?
Yes. A private trek means only your group goes (even if just you), with dedicated guide. Pace adapts 100% to you. It’s more expensive but ideal for 60+ who want peace of mind. Contact us for quote.
Should I get special travel insurance?
ABSOLUTELY. Make sure your insurance:
Many standard insurances have limitations for trekking activities or people 65+. Verify specifically.
What happens if I get sick during trek?
We have evacuation protocol. If you can’t continue, we accompany you to nearest exit point and coordinate your care. Travel insurance will cover additional costs (that’s why it’s crucial to have it).
Can I use regular walking cane instead of trekking poles?
Trekking poles are far superior for this terrain. They have rubber/metal tips for grip, are adjustable, and designed for hours of walking impact. If you have a cane for medical necessity, bring it too, but consider using additional trekking poles.
What are bathrooms like for someone with more frequent needs?
Camp bathrooms are basic (latrines). During walk, regular stops are made, but if you need more frequently, just tell guide. No one judges. It’s normal.
Can I take a nap during the day?
Yes, there’s free time at camps in afternoon. Arriving, resting, even sleeping a nap before dinner is perfectly possible and recommended to recover.
Your Age Is Your Strength, Not Your Limitation
You’ve lived 60, 65, 70 years. You’ve overcome challenges young people can’t imagine. You’ve learned that mind can overcome body. That wisdom is your greatest advantage on the Inca Trail.
All you need:
If you have those 5 things, Machu Picchu awaits you.
Your Next Steps
We Are Inca Trail Specialists
At Inca Trail Explorers we dedicate ourselves exclusively to the Inca Trail. It’s our passion and specialty.
If you decide the Inca Trail is for you, we’re here to make it the experience of your life.
Have Specific Questions About Your Case?
Each person is unique. If you have specific medical conditions, doubts about your capacity, or want to talk about personalized options, contact us. We’ll be honest about whether the Inca Trail is suitable for you.
📧 Email: info@inca-trail.pe
📱 WhatsApp: +51 921 333 639