Altitude is the single biggest factor that determines whether you succeed or fail on the Manaslu Circuit Trek.

I have guided this route more times than I can count, and I have seen strong, fit trekkers turn back because they did not respect the altitude. I have also seen older, less fit trekkers cross Larkya La with a smile because they understood how to manage their ascent.

The Manaslu Circuit takes you from 710 meters at Soti Khola to 5,160 meters at Larkya La Pass. That is a gain of over 4,400 meters in just over a week. Your body needs time to adapt, and you need to understand exactly what you are getting into at every stage.

This Manaslu Circuit Trek Altitude Chart 2027 & 2028 guide breaks down the altitude profile of the trek. I will tell you exactly what to expect at each elevation, how to acclimatize properly, and what the risks are at every stage.


Table of Contents

Quick Answer

What is the altitude profile of the Manaslu Circuit Trek in 2027 and 2028?

The Manaslu Circuit Trek Altitude Chart 2027 & 2028 shows the route starts at 710m and reaches a maximum altitude of 5,160m at Larkya La Pass. The route has a gradual ascent profile with two built-in acclimatization days.

Key altitude milestones on the Manaslu Circuit Trek Altitude Chart 2027 & 2028:

LocationAltitudeDay (12-Day)
Soti Khola710mDay 1
Machha Khola870mDay 2
Jagat1,340mDay 2
Deng1,860mDay 3
Namrung2,630mDay 4
Lho3,180mDay 5
Sama Gaon3,520mDay 6
Samdo3,860mDay 8
Dharamsala4,460mDay 9
Larkya La Pass5,160mDay 10
Bimthang3,720mDay 10

Total elevation gain: Approximately 4,450 meters
Total elevation loss: Approximately 3,300 meters


Key Takeaways from the Manaslu Circuit Trek Altitude Chart 2027 & 2028

  • ✅ The highest point on the Manaslu Circuit Trek Altitude Chart 2027 & 2028 is Larkya La Pass at 5,160m
  • ✅ The lowest point on the Manaslu Circuit Trek Altitude Chart 2027 & 2028 is Soti Khola at 710m
  • ✅ Total elevation gain on the Manaslu Circuit Trek Altitude Chart 2027 & 2028 is approximately 4,450m
  • ✅ The golden rule: never sleep more than 500m higher than the previous night
  • ✅ Two acclimatization days are built into the standard itinerary on the Manaslu Circuit Trek Altitude Chart 2027 & 2028
  • ✅ Acute Mountain Sickness (AMS) risk increases significantly above 3,000m
  • ✅ The body produces more red blood cells over 3-5 days at altitude
  • ✅ Proper acclimatization increases success rate from 50% to 95%
  • ✅ The Manaslu Circuit Trek Altitude Chart 2027 & 2028 shows 6 distinct altitude zones
  • ✅ The longest day on the Manaslu Circuit Trek Altitude Chart 2027 & 2028 is Larkya La crossing (8-10 hours)

Why Altitude Matters on the Manaslu Circuit

Altitude is not just a number on a map. It affects everything about your trek.

What Happens to Your Body at Altitude

ElevationOxygen LevelEffect on Your Body
Sea Level100%Normal breathing, full energy
2,000m80%Slight breathlessness during exertion
3,000m70%Noticeable fatigue, possible headache
4,000m60%Significant fatigue, appetite loss
5,000m50%Your body works twice as hard for every step
5,160m (Larkya La)49%Extreme effort, limited endurance

Why Altitude is the #1 Challenge

FactorExplanation
Oxygen is scarceAt 5,160m, there is half the oxygen available compared to sea level
Your body needs timeIt takes 3-5 days for your body to produce more red blood cells
You cannot rushAscending too fast is the leading cause of AMS
Fitness is not protectionEven elite athletes get altitude sickness if they ascend too quickly
Descending is the only cureThere is no medication that replaces going down

The Golden Rule

Never sleep more than 500 meters higher than the previous night.

This rule is the foundation of all safe altitude trekking. The standard 12-day Manaslu itinerary follows this rule religiously.

For more on how altitude affects your body, read our AMS on Manaslu Circuit Trek guide.


Complete Altitude Chart on the Manaslu Circuit Trek Altitude Chart 2027 & 2028

Here is the complete altitude profile of the Manaslu Circuit, organized by day and location.

Full Waypoint Table on the Manaslu Circuit Trek Altitude Chart 2027 & 2028

DayRouteAltitude (m)Cumulative Gain (m)Cumulative Loss (m)
1Kathmandu → Soti Khola1,350 → 7100-640
2Soti Khola → Machha Khola710 → 870+1600
2Machha Khola → Jagat870 → 1,340+4700
3Jagat → Deng1,340 → 1,860+5200
4Deng → Ghap1,860 → 2,160+3000
4Ghap → Namrung2,160 → 2,630+4700
5Namrung → Lho2,630 → 3,180+5500
5Lho → Sama Gaon3,180 → 3,520+3400
6Acclimatization (Sama Gaon)3,52000
7Sama Gaon → Samdo3,520 → 3,860+3400
8Acclimatization (Samdo)3,86000
9Samdo → Dharamsala3,860 → 4,460+6000
10Dharamsala → Larkya La4,460 → 5,160+7000
10Larkya La → Bimthang5,160 → 3,7200-1,440
11Bimthang → Tilije3,720 → 2,3000-1,420
12Tilije → Dharapani2,300 → 1,8600-440
12Dharapani → Kathmandu1,860 → 1,3500-510

Altitude by Elevation Zone on the Manaslu Circuit Trek Altitude Chart 2027 & 2028

ZoneElevation RangeKey WaypointsWhat to Expect
Low Zone710m – 1,340mSoti Khola, Machha Khola, JagatWarm, humid, tropical feel
Mid-Low Zone1,340m – 2,160mDeng, GhapTemperate forests, moderate temperatures
Transition Zone2,160m – 2,630mNamrungFirst noticeable altitude effects
Alpine Zone2,630m – 3,520mLho, Sama GaonCold nights, spectacular views
High Alpine3,520m – 3,860mSamdoBarren landscape, Tibetan influence
Extreme Zone3,860m – 5,160mDharamsala, Larkya LaVery cold, low oxygen, maximum effort

Day-by-Day Elevation Profile on the Manaslu Circuit Trek Altitude Chart 2027 & 2028

Day 1: Kathmandu to Soti Khola (Drive)

AspectDetail
Elevation1,350m → 710m
Change-640m
NotesYou descend during the drive

No trekking today. The drive takes 7-8 hours.

Day 2: Soti Khola to Jagat

AspectDetail
Elevation710m → 870m → 1,340m
Change+160m then +470m
Total Gain+630m
NotesModerate day, good start

This is your first day on the trail. The elevation gain is manageable, and you have a full day of walking. Your body begins the acclimatization process today.

Day 3: Jagat to Deng

AspectDetail
Elevation1,340m → 1,860m
Change+520m
NotesEntering the gorge section

Another moderate day. The trail follows the river through a deep gorge. Your body is still well within safe altitude limits.

Day 4: Deng to Namrung

AspectDetail
Elevation1,860m → 2,160m → 2,630m
Change+300m then +470m
Total Gain+770m
NotesBiggest gain so far

You cross 2,500m today. Some trekkers start feeling the altitude at this stage. Headaches may appear, but they usually resolve with hydration.

Day 5: Namrung to Sama Gaon

AspectDetail
Elevation2,630m → 3,180m → 3,520m
Change+550m then +340m
Total Gain+890m
NotesDay with the most altitude gain

This is the most critical day before your first acclimatization stop. You gain 890 meters and sleep at 3,520m. This is above 3,000m, where the risk of AMS increases significantly.

Day 6: Acclimatization Day at Sama Gaon

AspectDetail
Elevation3,520m
Change0m (rest day)
NotesYour body catches up

This is not a rest day – it is an acclimatization day. Your body needs time to produce more red blood cells. The optional hike to Pungyen Gompa (4,000m) helps you “sleep low, hike high.”

Day 7: Sama Gaon to Samdo

AspectDetail
Elevation3,520m → 3,860m
Change+340m
NotesShort day, gentle gain

A short day gives your body more time to adapt. You gain only 340 meters, well within the safe 500m rule.

Day 8: Acclimatization Day at Samdo

AspectDetail
Elevation3,860m
Change0m (rest day)
NotesFinal adaptation before the pass

This is your second and final acclimatization day. The optional hike toward the Tibet border gives you altitude exposure above 4,000m without sleeping higher.

Day 9: Samdo to Dharamsala

AspectDetail
Elevation3,860m → 4,460m
Change+600m
NotesAbove 4,000m for the first time

You gain 600 meters today, which is slightly above the 500m rule. However, you have had two acclimatization days, so your body is ready. This is the highest you will sleep before the pass.

Day 10: Cross Larkya La to Bimthang

AspectDetail
Elevation4,460m → 5,160m → 3,720m
Change+700m then -1,440m
NotesThe hardest day

You climb 700 meters to the pass, then descend 1,440 meters. The ascent takes 4-5 hours. The descent takes 3-4 hours. This is the longest and most challenging day of the trek.

For a detailed guide on the pass crossing, read our Larkya La Pass Best Guide.

Day 11: Bimthang to Tilije

AspectDetail
Elevation3,720m → 2,300m
Change-1,420m
NotesSteep descent, hard on the knees

You are now below 3,000m. Altitude is no longer a concern, but the steep descent can be tough on your knees.

Day 12: Tilije to Dharapani to Kathmandu

AspectDetail
Elevation2,300m → 1,860m → 1,350m
Change-440m then -510m
NotesEnd of the trek

You are back to safe altitudes. The trek ends at Dharapani, and you drive back to Kathmandu.


Acclimatization Strategy on the Manaslu Circuit Trek Altitude Chart 2027 & 2028

The Science of Acclimatization

Acclimatization is the process by which your body adapts to lower oxygen levels at high altitude.

ProcessHow It WorksTime Required
Increased breathingYou breathe faster and deeperImmediate
Increased red blood cellsYour body produces more oxygen-carrying cells3-5 days
Increased capillariesYour body grows more blood vessels in musclesWeeks to months
Increased mitochondriaYour cells become more efficient at using oxygenWeeks to months

The first two processes are what matter on a 12-day trek. Your body starts producing more red blood cells within hours of arriving at altitude, but it takes 3-5 days to see the full effect.

The “Sleep Low, Hike High” Rule

This is the most effective acclimatization strategy.

RuleHow to Apply It
Sleep lowAlways sleep at a lower altitude than the highest altitude you reached during the day
Hike highClimb higher during the day (to 4,000m), then descend to sleep (at 3,520m)

This is why the acclimatization days are so important. You hike to a higher altitude during the day (Pungyen Gompa at 4,000m, Tibet border viewpoint at 4,200m) and then descend to sleep at a lower altitude (Sama Gaon at 3,520m, Samdo at 3,860m).

The Manaslu Acclimatization Schedule

DayActionElevationWhy
Day 1-4Gradual ascentBelow 2,630mBuilds base for altitude adaptation
Day 5Ascend to Sama Gaon3,520mFirst night above 3,000m
Day 6Acclimatization day3,520m (sleep)Sleep low, hike high to 4,000m
Day 7Ascend to Samdo3,860mGentle gain of only 340m
Day 8Acclimatization day3,860m (sleep)Sleep low, hike high to 4,200m
Day 9Ascend to Dharamsala4,460mBody is ready for 600m gain
Day 10Cross Larkya La5,160mSummit day

Why This Schedule Works

FactorWhy It Works
Slow ascentYou never sleep more than 500m higher than the previous night (except Day 9, which is 600m after two acclimatization days)
Two rest daysYour body has two full days to produce red blood cells
Active acclimatizationYou hike high during rest days, then sleep low
Gradual exposureYou are above 3,000m for 5 days before attempting the pass

For a complete day-by-day itinerary, read our Manaslu Circuit Trek Itinerary guide.


Understanding AMS and Altitude Sickness

What is Acute Mountain Sickness (AMS)?

AMS is the body’s reaction to lower oxygen levels at altitude. It can affect anyone, regardless of fitness or age.

AMS Risk by Elevation

ElevationRisk of AMSNotes
Below 2,000mNoneSafe altitude
2,000-3,000mLowMild symptoms possible
3,000-4,000mModerateSymptoms common in fast ascents
4,000-5,000mHighMost AMS cases occur here
Above 5,000mVery HighExtreme caution required

Symptoms of AMS

Mild AMS (Continue but monitor)Moderate AMS (Consider descending)Severe AMS (Descend immediately)
Mild headacheSevere headacheSevere headache not relieved by rest
FatigueExtreme fatigueConfusion
NauseaVomitingVomiting
DizzinessDisorientationBlue lips or fingernails
Loss of appetiteLoss of coordinationUnable to walk straight

The Lake Louise Score

The Lake Louise Score is a medical tool used to diagnose AMS. Your guide will use this or a similar system.

SymptomScore
Headache0-3
Nausea/Vomiting0-3
Fatigue0-3
Dizziness0-3
Sleep disturbance0-3

Score interpretation:

  • 0-3: No AMS
  • 4-7: Mild AMS – monitor
  • 8-11: Moderate AMS – consider descending
  • 12-15: Severe AMS – descend immediately

For more on AMS prevention and treatment, read our AMS on Manaslu Circuit Trek guide.


Altitude Zones and Their Effects

Zone 1: Low Zone (710m – 1,340m)

AspectDetail
WaypointsSoti Khola, Machha Khola, Jagat
Oxygen Level92-95% of sea level
EffectsNone
What to DoEnjoy the walk, stay hydrated

Zone 2: Mid-Low Zone (1,340m – 2,160m)

AspectDetail
WaypointsDeng, Ghap
Oxygen Level85-90% of sea level
EffectsMild breathlessness on steep sections
What to DoMaintain steady pace, drink water

Zone 3: Transition Zone (2,160m – 2,630m)

AspectDetail
WaypointsNamrung
Oxygen Level80-85% of sea level
EffectsNoticeable fatigue, possible mild headache
What to DoStart taking it slow, hydrate more

Zone 4: Alpine Zone (2,630m – 3,520m)

AspectDetail
WaypointsLho, Sama Gaon
Oxygen Level70-78% of sea level
EffectsHeadaches common, sleep disruption, appetite loss
What to DoFirst acclimatization day, sleep low hike high

Zone 5: High Alpine (3,520m – 3,860m)

AspectDetail
WaypointsSamdo
Oxygen Level65-70% of sea level
EffectsSignificant fatigue, lack of appetite, sleep issues
What to DoSecond acclimatization day, monitor symptoms

Zone 6: Extreme Zone (3,860m – 5,160m)

AspectDetail
WaypointsDharamsala, Larkya La
Oxygen Level49-60% of sea level
EffectsExtreme effort, limited endurance, AMS risk high
What to DoSum day, descend immediately after pass

Comparing Altitudes: Manaslu vs Other Treks

TrekHighest PointElevationDifficulty Ranking
Manaslu CircuitLarkya La5,160mHigh
Annapurna CircuitThorong La5,416mHigh
Everest Base CampEBC5,364mHigh
Langtang ValleyKyanjin Ri4,773mModerate
Ghorepani Poon HillPoon Hill3,210mLow
Tsum ValleyMu Gompa3,700mModerate

Key comparison: Manaslu is higher than Tsum Valley and Langtang, but lower than EBC and Thorong La. However, the remote nature and limited escape options make the altitude risk on Manaslu comparable to higher treks.

For a detailed comparison, read our Manaslu Circuit vs Everest Base Camp and Manaslu Circuit vs Annapurna Circuit guides.


The Importance of the Two Acclimatization Days

Why You Cannot Skip Acclimatization Days

ReasonExplanation
Red blood cell productionYour body needs 3-5 days to produce more red blood cells
Fluid balanceYour body needs time to adjust fluid levels at altitude
Sleep qualitySleep is disrupted at altitude – rest days help you recover
Mental adaptationThe psychological effects of altitude are real and need time

What Happens If You Skip Acclimatization Days

ScenarioSuccess RateAMS Risk
With 2 acclimatization days90-95%Low
With 1 acclimatization day70-80%Moderate
With 0 acclimatization days50-60%High

The Two Acclimatization Days

Acclimatization DayLocationWhat to Do
Day 1Sama Gaon (3,520m)Hike to Pungyen Gompa (4,000m)
Day 2Samdo (3,860m)Hike toward Tibet border (4,200m)

Symptoms of AMS and When to Descend

The Descending Rule

ConditionAction
Mild AMS with no progressionContinue, monitor, hydrate
Mild AMS that worsensDescend 300-500m
Moderate AMSDescend immediately
Severe AMSEmergency evacuation

How to Descend

StepAction
1Stop all ascent
2Descend at least 300-500 meters
3Stay at the lower altitude until symptoms improve
4Do not ascend again until symptoms have been gone for 24 hours
5If symptoms persist or worsen, continue descending

Oxygen Levels at Each Elevation

ElevationOxygen Level (% of sea level)Equivalent
Sea Level100%Normal
1,000m90%Normal breathlessness
2,000m80%Mild effort
3,000m70%Significant effort
4,000m60%High effort
5,000m50%Extreme effort
5,160m (Larkya La)49%Maximum effort

Frequently Asked Questions About the Manaslu Circuit Trek Altitude Chart 2027 & 2028

What is the highest altitude on the Manaslu Circuit Trek Altitude Chart 2027 & 2028?

The highest point is Larkya La Pass at 5,160 meters (16,929 feet).

What is the lowest altitude on the Manaslu Circuit Trek Altitude Chart 2027 & 2028?

The lowest point is Soti Khola at 710 meters.

How much elevation gain is there on the Manaslu Circuit Trek Altitude Chart 2027 & 2028?

The total elevation gain is approximately 4,450 meters.

How many acclimatization days are needed for Manaslu?

At least two acclimatization days are recommended. The standard 12-day itinerary includes rest days at Sama Gaon and Samdo.

What is the “sleep low, hike high” rule?

You should sleep at a lower altitude than the highest altitude you reached during the day. This helps your body acclimatize faster.

What is Acute Mountain Sickness (AMS)?

AMS is the body’s reaction to lower oxygen levels at altitude. Symptoms include headache, nausea, fatigue, and dizziness.

How can I prevent AMS on Manaslu?

Ascend slowly, stay hydrated, eat well, avoid alcohol, and take acclimatization days.

What is the Lake Louise Score?

It is a medical tool used to diagnose AMS. Your guide will use it to monitor your symptoms.

How much oxygen is there at 5,160m?

There is approximately 49% of the oxygen available at sea level.

How long does it take to acclimatize to altitude?

Your body starts producing more red blood cells immediately, but it takes 3-5 days for the full effect.

Can I use Diamox on Manaslu?

Yes, many trekkers use Diamox (Acetazolamide) to prevent and treat AMS. Consult your doctor before the trek.

What happens if I get AMS on the trail?

If you have mild AMS, you can continue but monitor symptoms. If symptoms worsen, you must descend.

How far should I descend if I get AMS?

Descend at least 300-500 meters until symptoms improve.

Can I skip acclimatization days if I feel fine?

No. Acclimatization is not optional. Skipping days increases your risk of severe AMS.

What is the rule for sleeping altitude?

Never sleep more than 500 meters higher than the previous night.

How does altitude affect sleep?

Altitude often causes disrupted sleep, frequent waking, and vivid dreams. This is normal.

Why do I lose my appetite at altitude?

Altitude affects your digestive system and reduces blood flow to the stomach. Eat small, frequent meals.

How much water should I drink at altitude?

Drink 4-5 liters of water daily. Your urine should be clear.

What is the success rate for crossing Larkya La?

With proper acclimatization, the success rate is 90-95%. Without proper acclimatization, it drops below 50%.

Can I do the Manaslu Circuit without prior altitude experience?

Yes, many first-time trekkers complete the Manaslu Circuit successfully. The key is proper preparation and following the acclimatization schedule.
For a complete beginner’s guide, read our Manaslu Circuit Trek for Beginners guide.

Summary & Conclusion

Altitude is the defining factor of the Manaslu Circuit Trek. Understanding your route’s elevation profile is essential for a successful trek.

Key Altitude Facts from the Manaslu Circuit Trek Altitude Chart 2027 & 2028:

  • Highest point: Larkya La (5,160m)
  • Lowest point: Soti Khola (710m)
  • Total elevation gain: 4,450m
  • Total elevation loss: 3,300m
  • Acclimatization days: 2 (Sama Gaon and Samdo)
  • Rule: Never sleep more than 500m higher than the previous night

The altitude chart tells a clear story:

DayElevationStrategy
1-4Below 2,630mBuild base fitness
5-63,520mFirst acclimatization
7-83,860mSecond acclimatization
94,460mPrepare for pass
105,160mSummit and descend

Respect the altitude. Follow the acclimatization schedule. Listen to your body. And when you stand at 5,160 meters on Larkya La, you will know that every cautious step was worth it.


Ready to conquer the Manaslu Circuit in 2027 or 2028?

Langtang Treks Pvt. Ltd. provides expert guidance to help you manage altitude safely.

Our services include:

  • 🩺 Daily oxygen saturation checks
  • 📋 Expert acclimatization guidance
  • 🏔️ Experienced guides trained in altitude medicine
  • 🚁 Emergency evacuation coordination (if needed)
  • 💊 Advice on altitude medications

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What our trekkers say: Read real reviews from trekkers who have completed the Manaslu Circuit with us on our TripAdvisor page.

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This guide was written by the trekking experts at Langtang Treks Pvt. Ltd. All information is accurate for 2027 and 2028 as of the publication date. Altitude regulations and medical recommendations are subject to change.

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