Most of the walkers only come in Pakistan for this trek; everything is organized so that they are well acclimatized. Nevertheless, going from the sea level to 5000 m in a week can easily provoke altitude sickness.
Concerning Gondogoro La, the part that goes down towards Xhuspang is extremely steep, ropes are fixed, and you can observe all the equipment horrors: rope worn out, severe friction, 5 persons going down in the same time, etc…
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