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.
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:
| Location | Altitude | Day (12-Day) |
|---|---|---|
| Soti Khola | 710m | Day 1 |
| Machha Khola | 870m | Day 2 |
| Jagat | 1,340m | Day 2 |
| Deng | 1,860m | Day 3 |
| Namrung | 2,630m | Day 4 |
| Lho | 3,180m | Day 5 |
| Sama Gaon | 3,520m | Day 6 |
| Samdo | 3,860m | Day 8 |
| Dharamsala | 4,460m | Day 9 |
| Larkya La Pass | 5,160m | Day 10 |
| Bimthang | 3,720m | Day 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
| Elevation | Oxygen Level | Effect on Your Body |
|---|---|---|
| Sea Level | 100% | Normal breathing, full energy |
| 2,000m | 80% | Slight breathlessness during exertion |
| 3,000m | 70% | Noticeable fatigue, possible headache |
| 4,000m | 60% | Significant fatigue, appetite loss |
| 5,000m | 50% | Your body works twice as hard for every step |
| 5,160m (Larkya La) | 49% | Extreme effort, limited endurance |
Why Altitude is the #1 Challenge
| Factor | Explanation |
|---|---|
| Oxygen is scarce | At 5,160m, there is half the oxygen available compared to sea level |
| Your body needs time | It takes 3-5 days for your body to produce more red blood cells |
| You cannot rush | Ascending too fast is the leading cause of AMS |
| Fitness is not protection | Even elite athletes get altitude sickness if they ascend too quickly |
| Descending is the only cure | There 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
| Day | Route | Altitude (m) | Cumulative Gain (m) | Cumulative Loss (m) |
|---|---|---|---|---|
| 1 | Kathmandu → Soti Khola | 1,350 → 710 | 0 | -640 |
| 2 | Soti Khola → Machha Khola | 710 → 870 | +160 | 0 |
| 2 | Machha Khola → Jagat | 870 → 1,340 | +470 | 0 |
| 3 | Jagat → Deng | 1,340 → 1,860 | +520 | 0 |
| 4 | Deng → Ghap | 1,860 → 2,160 | +300 | 0 |
| 4 | Ghap → Namrung | 2,160 → 2,630 | +470 | 0 |
| 5 | Namrung → Lho | 2,630 → 3,180 | +550 | 0 |
| 5 | Lho → Sama Gaon | 3,180 → 3,520 | +340 | 0 |
| 6 | Acclimatization (Sama Gaon) | 3,520 | 0 | 0 |
| 7 | Sama Gaon → Samdo | 3,520 → 3,860 | +340 | 0 |
| 8 | Acclimatization (Samdo) | 3,860 | 0 | 0 |
| 9 | Samdo → Dharamsala | 3,860 → 4,460 | +600 | 0 |
| 10 | Dharamsala → Larkya La | 4,460 → 5,160 | +700 | 0 |
| 10 | Larkya La → Bimthang | 5,160 → 3,720 | 0 | -1,440 |
| 11 | Bimthang → Tilije | 3,720 → 2,300 | 0 | -1,420 |
| 12 | Tilije → Dharapani | 2,300 → 1,860 | 0 | -440 |
| 12 | Dharapani → Kathmandu | 1,860 → 1,350 | 0 | -510 |
Altitude by Elevation Zone on the Manaslu Circuit Trek Altitude Chart 2027 & 2028
| Zone | Elevation Range | Key Waypoints | What to Expect |
|---|---|---|---|
| Low Zone | 710m – 1,340m | Soti Khola, Machha Khola, Jagat | Warm, humid, tropical feel |
| Mid-Low Zone | 1,340m – 2,160m | Deng, Ghap | Temperate forests, moderate temperatures |
| Transition Zone | 2,160m – 2,630m | Namrung | First noticeable altitude effects |
| Alpine Zone | 2,630m – 3,520m | Lho, Sama Gaon | Cold nights, spectacular views |
| High Alpine | 3,520m – 3,860m | Samdo | Barren landscape, Tibetan influence |
| Extreme Zone | 3,860m – 5,160m | Dharamsala, Larkya La | Very 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)
| Aspect | Detail |
|---|---|
| Elevation | 1,350m → 710m |
| Change | -640m |
| Notes | You descend during the drive |
No trekking today. The drive takes 7-8 hours.
Day 2: Soti Khola to Jagat
| Aspect | Detail |
|---|---|
| Elevation | 710m → 870m → 1,340m |
| Change | +160m then +470m |
| Total Gain | +630m |
| Notes | Moderate 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
| Aspect | Detail |
|---|---|
| Elevation | 1,340m → 1,860m |
| Change | +520m |
| Notes | Entering 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
| Aspect | Detail |
|---|---|
| Elevation | 1,860m → 2,160m → 2,630m |
| Change | +300m then +470m |
| Total Gain | +770m |
| Notes | Biggest 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
| Aspect | Detail |
|---|---|
| Elevation | 2,630m → 3,180m → 3,520m |
| Change | +550m then +340m |
| Total Gain | +890m |
| Notes | Day 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
| Aspect | Detail |
|---|---|
| Elevation | 3,520m |
| Change | 0m (rest day) |
| Notes | Your 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
| Aspect | Detail |
|---|---|
| Elevation | 3,520m → 3,860m |
| Change | +340m |
| Notes | Short 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
| Aspect | Detail |
|---|---|
| Elevation | 3,860m |
| Change | 0m (rest day) |
| Notes | Final 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
| Aspect | Detail |
|---|---|
| Elevation | 3,860m → 4,460m |
| Change | +600m |
| Notes | Above 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
| Aspect | Detail |
|---|---|
| Elevation | 4,460m → 5,160m → 3,720m |
| Change | +700m then -1,440m |
| Notes | The 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
| Aspect | Detail |
|---|---|
| Elevation | 3,720m → 2,300m |
| Change | -1,420m |
| Notes | Steep 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
| Aspect | Detail |
|---|---|
| Elevation | 2,300m → 1,860m → 1,350m |
| Change | -440m then -510m |
| Notes | End 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.
| Process | How It Works | Time Required |
|---|---|---|
| Increased breathing | You breathe faster and deeper | Immediate |
| Increased red blood cells | Your body produces more oxygen-carrying cells | 3-5 days |
| Increased capillaries | Your body grows more blood vessels in muscles | Weeks to months |
| Increased mitochondria | Your cells become more efficient at using oxygen | Weeks 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.
| Rule | How to Apply It |
|---|---|
| Sleep low | Always sleep at a lower altitude than the highest altitude you reached during the day |
| Hike high | Climb 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
| Day | Action | Elevation | Why |
|---|---|---|---|
| Day 1-4 | Gradual ascent | Below 2,630m | Builds base for altitude adaptation |
| Day 5 | Ascend to Sama Gaon | 3,520m | First night above 3,000m |
| Day 6 | Acclimatization day | 3,520m (sleep) | Sleep low, hike high to 4,000m |
| Day 7 | Ascend to Samdo | 3,860m | Gentle gain of only 340m |
| Day 8 | Acclimatization day | 3,860m (sleep) | Sleep low, hike high to 4,200m |
| Day 9 | Ascend to Dharamsala | 4,460m | Body is ready for 600m gain |
| Day 10 | Cross Larkya La | 5,160m | Summit day |
Why This Schedule Works
| Factor | Why It Works |
|---|---|
| Slow ascent | You never sleep more than 500m higher than the previous night (except Day 9, which is 600m after two acclimatization days) |
| Two rest days | Your body has two full days to produce red blood cells |
| Active acclimatization | You hike high during rest days, then sleep low |
| Gradual exposure | You 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
| Elevation | Risk of AMS | Notes |
|---|---|---|
| Below 2,000m | None | Safe altitude |
| 2,000-3,000m | Low | Mild symptoms possible |
| 3,000-4,000m | Moderate | Symptoms common in fast ascents |
| 4,000-5,000m | High | Most AMS cases occur here |
| Above 5,000m | Very High | Extreme caution required |
Symptoms of AMS
| Mild AMS (Continue but monitor) | Moderate AMS (Consider descending) | Severe AMS (Descend immediately) |
|---|---|---|
| Mild headache | Severe headache | Severe headache not relieved by rest |
| Fatigue | Extreme fatigue | Confusion |
| Nausea | Vomiting | Vomiting |
| Dizziness | Disorientation | Blue lips or fingernails |
| Loss of appetite | Loss of coordination | Unable 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.
| Symptom | Score |
|---|---|
| Headache | 0-3 |
| Nausea/Vomiting | 0-3 |
| Fatigue | 0-3 |
| Dizziness | 0-3 |
| Sleep disturbance | 0-3 |
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)
| Aspect | Detail |
|---|---|
| Waypoints | Soti Khola, Machha Khola, Jagat |
| Oxygen Level | 92-95% of sea level |
| Effects | None |
| What to Do | Enjoy the walk, stay hydrated |
Zone 2: Mid-Low Zone (1,340m – 2,160m)
| Aspect | Detail |
|---|---|
| Waypoints | Deng, Ghap |
| Oxygen Level | 85-90% of sea level |
| Effects | Mild breathlessness on steep sections |
| What to Do | Maintain steady pace, drink water |
Zone 3: Transition Zone (2,160m – 2,630m)
| Aspect | Detail |
|---|---|
| Waypoints | Namrung |
| Oxygen Level | 80-85% of sea level |
| Effects | Noticeable fatigue, possible mild headache |
| What to Do | Start taking it slow, hydrate more |
Zone 4: Alpine Zone (2,630m – 3,520m)
| Aspect | Detail |
|---|---|
| Waypoints | Lho, Sama Gaon |
| Oxygen Level | 70-78% of sea level |
| Effects | Headaches common, sleep disruption, appetite loss |
| What to Do | First acclimatization day, sleep low hike high |
Zone 5: High Alpine (3,520m – 3,860m)
| Aspect | Detail |
|---|---|
| Waypoints | Samdo |
| Oxygen Level | 65-70% of sea level |
| Effects | Significant fatigue, lack of appetite, sleep issues |
| What to Do | Second acclimatization day, monitor symptoms |
Zone 6: Extreme Zone (3,860m – 5,160m)
| Aspect | Detail |
|---|---|
| Waypoints | Dharamsala, Larkya La |
| Oxygen Level | 49-60% of sea level |
| Effects | Extreme effort, limited endurance, AMS risk high |
| What to Do | Sum day, descend immediately after pass |
Comparing Altitudes: Manaslu vs Other Treks
| Trek | Highest Point | Elevation | Difficulty Ranking |
|---|---|---|---|
| Manaslu Circuit | Larkya La | 5,160m | High |
| Annapurna Circuit | Thorong La | 5,416m | High |
| Everest Base Camp | EBC | 5,364m | High |
| Langtang Valley | Kyanjin Ri | 4,773m | Moderate |
| Ghorepani Poon Hill | Poon Hill | 3,210m | Low |
| Tsum Valley | Mu Gompa | 3,700m | Moderate |
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
| Reason | Explanation |
|---|---|
| Red blood cell production | Your body needs 3-5 days to produce more red blood cells |
| Fluid balance | Your body needs time to adjust fluid levels at altitude |
| Sleep quality | Sleep is disrupted at altitude – rest days help you recover |
| Mental adaptation | The psychological effects of altitude are real and need time |
What Happens If You Skip Acclimatization Days
| Scenario | Success Rate | AMS Risk |
|---|---|---|
| With 2 acclimatization days | 90-95% | Low |
| With 1 acclimatization day | 70-80% | Moderate |
| With 0 acclimatization days | 50-60% | High |
The Two Acclimatization Days
| Acclimatization Day | Location | What to Do |
|---|---|---|
| Day 1 | Sama Gaon (3,520m) | Hike to Pungyen Gompa (4,000m) |
| Day 2 | Samdo (3,860m) | Hike toward Tibet border (4,200m) |
Symptoms of AMS and When to Descend
The Descending Rule
| Condition | Action |
|---|---|
| Mild AMS with no progression | Continue, monitor, hydrate |
| Mild AMS that worsens | Descend 300-500m |
| Moderate AMS | Descend immediately |
| Severe AMS | Emergency evacuation |
How to Descend
| Step | Action |
|---|---|
| 1 | Stop all ascent |
| 2 | Descend at least 300-500 meters |
| 3 | Stay at the lower altitude until symptoms improve |
| 4 | Do not ascend again until symptoms have been gone for 24 hours |
| 5 | If symptoms persist or worsen, continue descending |
Oxygen Levels at Each Elevation
| Elevation | Oxygen Level (% of sea level) | Equivalent |
|---|---|---|
| Sea Level | 100% | Normal |
| 1,000m | 90% | Normal breathlessness |
| 2,000m | 80% | Mild effort |
| 3,000m | 70% | Significant effort |
| 4,000m | 60% | High effort |
| 5,000m | 50% | 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:
| Day | Elevation | Strategy |
|---|---|---|
| 1-4 | Below 2,630m | Build base fitness |
| 5-6 | 3,520m | First acclimatization |
| 7-8 | 3,860m | Second acclimatization |
| 9 | 4,460m | Prepare for pass |
| 10 | 5,160m | Summit 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:
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- 🏔️ Experienced guides trained in altitude medicine
- 🚁 Emergency evacuation coordination (if needed)
- 💊 Advice on altitude medications
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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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