We know we're not the cheapest deal around, and we don't want to be. We spend more providing the best personnel, equipment, logistics and safety measures — things that many lower-cost programs cannot afford and do not have. We don't cut corners. As you shop around, consider the following:

• IMG leaders are professionals and are great teachers as well as strong climbers. All have done numerous high-altitude expeditions, including the Himalaya. Our clients enjoy the immense benefit of a core group that has climbed together extensively, producing a team that works well together.
• IMG always complies with all local, state, federal, and international regulations for the countries in which we climb. This includes proper visas and climbing permits, full insurance and equipment for our employees and Sherpa support teams, and complete adherence to all environmental regulations. Our great safety record allows us to operate with full liability insurance. All client funds are deposited in a regulated trust account. We take our business seriously!
• IMG Sherpas are top-notch. We hire the same great Sherpas every year, we treat them with respect, we pay them well and they like working with our teams. Most of them have been on many climbs with us over the years and many of them have multiple Everest summits. Our enthusiastic cooks do a great job and our menus are well considered. It makes a difference!
• IMG trek itineraries are longer than most others offered on the market. We know how to acclimatize properly and we don't rush.
• IMG treks are supported by satellite communications, allowing us to maintain excellent emergency contact capabilities and keep friends and family informed of our progress during the long weeks away from home.

For the Everest and Annapurna Treks, no previous climbing experience or technical climbing skills are required. The hiking is on rough trail. A small amount of snow or mud may be encountered, so good hiking boots and gaiters are recommended, but the terrain does not necessitate the use of crampons or an ice ax. Trekking or ski poles can be very useful. Some very short and relatively easy sections of rock scrambling are also encountered, requiring "using of your hands" in a couple places.

Good conditioning is the primary requirement for Trekking in the Everest and Annapurna areas. These are strenuous trips. Participants must be in sound "hiking shape" and capable of traveling for a full day with a modest pack (clothing, lunch, water, camera, etc). Don't underestimate these mountains, we're going high! Follow a conditioning program that will strengthen your lungs, legs and heart. Any hiking you can do before the trip will be of the most value. At home, we recommend stair climbing, bike riding and running hills. Conditioning is a process that should continue throughout the year.

We take great pride in the long term relationships we have built with our local staff. They do a great job, we pay and tip them well, and they enjoy working for IMG. We make sure that the IMG porters have adequate clothing, equipment, shelter, sleeping arrangements, food, cooking equipment and water. Sick or injured porters are properly cared for. All loads are weighed to ensure that porters are carrying loads that don't exceed their physical ability or legal limits. Porters are paid a fair wage for their work and are paid tip money directly from the tip pool at the end of the expedition (no middleman taking a cut).

IMG is committed to Leave No Trace. All human waste is properly disposed of and garbage is sorted into burnable and recyclables (taken back to Kathmandu). All gas cylinders are taken back to Nepal and recycled, and all oxygen cylinders are returned to the USA.

International Mountain Guides has worked for many years with the staff at CTT Destinations to provide professional travel service for participants in our programs. For help with your plans, we urge you to contact Pirjo DeHart at CTT Destinations: 425-831-0367 or pirjo.dehart@cttdestinations.com (Note: Travel agencies may charge an additional fee for services).

IMG requires that all participants on Himalayan programs purchase Travel Insurance that includes coverage for medical evacuation, repatriation and medical expenses for the duration of their IMG program. We strongly recommend that you add Trip Cancellation coverage to your policy to cover cancellation (before trip starts) or interruption (after trip starts). For more info, please see our page on Trip Cancellation and Travel Insurance.

If you need assistance with the various insurance options, give Becky Kjorvestad a call in the IMG Office (360-569-2609) or email becky.kjorvestad@mountainguides.com

Note on end dates: Please extend your policy 7 days past the trip's end date to insure you are covered for the entire trip and in the event of weather delays.

Your passport must be valid for 6 months after the trip and have empty pages. We will provide instruction on how to obtain your visa.

The equipment list is meant to help you compile your personal gear for a high altitude trekking trip. Most items are required, while a few are optional. Please consider each item carefully and be sure you understand the function of each piece of equipment before you substitute or delete items from your duffle. Keep in mind that this list has been carefully compiled by Eric Simonson, the expedition organizer. Don't cut corners on the quality of your gear.

Spring and autumn season are normally very stable weather periods. That said, it is always difficult to predict the exact weather conditions we will encounter during our treks. Warm rain can occur down low and we can experience cold and windy conditions higher up, with the possibility of snowfall. It is not unusual for the temperatures to be well below freezing at Everest Base Camp or Thorung La, before the sun comes up. A down jacket (or equivalent) is required. We expect that the weather will be perfectly reasonable, but it is important to prepare for all possibilities.

All meals on the climb and treks are included. You will be responsible for your bottled drinks and alcoholic beverages. You may want to bring powdered drink mixes for flavor in your water bottles. We recommend you bring a modest personal stash of your favorite trail and snack foods. There is a grocery store in Kathmandu near the hotel which has many snack items available (candy, crackers, nuts, etc). Not available in Kathmandu are things like Power Bars, Gu, or electrolyte replacement drink mix.

We usually carry a daypack/rucksack as carry-on luggage and check two lockable bags. One of those bags can stay at the hotel while climbing for storage of your travel clothes (it is OK to leave a bag with wheels at the hotel). The other bag will be used by the porters to carry your gear on the climb, and it should NOT have wheels. It does not have to be 100% waterproof, just stout nylon fabric is fine. You will want to put everything in plastic bags anyway, inside the duffel.

We suggest that you use a travel wallet that you can hang around your neck and place inside your shirt. This is a safer way to carry your money and travel documents. Leave expensive jewelry and watches at home. Experienced travelers will also carry a couple of extra passport photos with them as well as a photocopy of the first pages of your passport. These should be carried in a place separate from your passport. Having these available will greatly facilitate the replacement of your passport if you lose it. Carry a pen with you for completing travel forms. Get to the airport early and make sure your luggage gets checked through to the correct destination.

• Covid vaccination and booster
• Tetanus/Diphtheria: You should already have. Do you need a booster?
• Polio: You should already have. Do you need a booster?
• MMR: You should already have. Do you need a booster?
• Meningitis: Recommended. Consult your physician.
• Hepatitis A: Recommended. Consult your physician.
• Hepatitis B: Not a bad idea. Ask your physician.
• Cholera: Ask your physician. Not usually recommended any more.
• Typhoid: Not a bad idea to be safe. The tablet form, Vivotif Berna, is good for five years.
• Rabies: The new vaccine is easy. Kathmandu and Nepal have rabid animals.
• Malaria: No problem in Kathmandu, since we are above the zone of malaria, but if you plan on traveling to lower elevations in Nepal, or to certain parts of Thailand before/after the trip then malaria chemoprophylaxis is highly recommended.

We recommend that you visit the travel clinic at a major University Hospital or your local Public Health Department for the most up to date info on travel requirements, or check the Center for Disease Control Website at www.cdc.gov.

While it's always nice to have a doctor as a participant on our trips, we cannot guarantee a doctor's presence. We ask that you carefully complete the Medical Information form included in the registration materials. We need to be informed of any allergies you may have, medicines you are currently taking and any medical conditions that could possibly effect your ability to safely participate on a climbing expedition.

In addition to the first aid items listed on the equipment list, there are a few additional medications that you should consider. These should be discussed with your personal physician and some will require a prescription. We want everyone to bring two regimens of the antibiotic azithromycin ("Z-Pak") and some Immodium in case of bad traveler's diarrhea. A sleeping medication can be useful for napping on the international flights and for the first few days in Nepal (due to the big time change). We do not recommend the automatic use of Diamox while climbing but you might find a small dose (125mg) useful if altitude sickness symptoms appear. Discuss this and your other medication requirements with your physician. Any medication should be used only if necessary and use should be discussed thoroughly with your physician and with your guide before you take the medication.

Water purification is also very important. An effective and inexpensive method is the use of iodine crystals or tablets. These are available commercially at mountaineering stores as a product called 'Polar Pure' or 'Potable Agua'. Filters, such as the ones made by MSR, are also good. Either can be used or both can be used in combination. On the trek our recommendation is to plan on treating your water bottle water with an iodine tablet (Potable Aqua) or other purification method. You can buy bottled water in Kathmandu, but we do not encourage you to buy bottled water on the trek since the bottles are garbage and constitute an environmental issue. If you want to buy boiled water at the lodges for your water bottles, you should bring some extra money. We also recommend that each participant bring a small bottle of a hand disinfectant such as Purell. Anything that we can do to stay healthy is worthwhile. Health issues will be discussed during the expedition and we encourage you to contact us if you have any questions before or during the trip.

Our IMG guides are very experienced with dealing with altitude illness, but we are not allowed to provide prescription drugs to our customers. For this reason we ask each climber to consult with their own physician and to bring their own emergency medications to use (while descending!) in case of onset of high altitude pulmonary or cerebral edema symptoms. These include Nifedipine and Dexamethasome, which will help to "buy some time" to get down to a lower altitude. The Nifedipine is useful for pulmonary edema (take one 30mg sustained release tablet every twelve hours) and the Dexamethasome is useful for cerebral edema (take one 4mg tablet every 6 hours). Our suggestion is that climbers each bring a few tablets of each medication (2 tabs of Nifedipine and 4 tabs of Dex is plenty) and that should be sufficient to provide one day of treatment so the patient can get down, if they start to get sick. For more information see this recent article in WILDERNESS & ENVIRONMENTAL MEDICINE, 21, 146-155 (2010).