How do I deal with altitude sickness?+
Altitude sickness (soroche) affects almost everyone in La Paz: headaches, breathlessness, insomnia, nausea. Don't plan anything on your first day, drink plenty of water and coca tea, eat light and skip alcohol. It's best to arrive from a lower altitude gradually, for example via Cusco or around Lake Titicaca. For severe symptoms, descending to Zona Sur or oxygen — available at hotels and pharmacies — helps; discuss the drug acetazolamide with a doctor before travelling.
Is La Paz safe?+
Fairly safe for tourists who follow the rules. Pickpockets operate in markets and in El Alto, and fake police officers and taxis that target tourists are common. Real police never want to see your money in the street. Only take radio taxis or Uber, and don't walk at night outside Sopocachi and the centre. During demonstrations, avoid the area around Plaza Murillo.
How do I pay in Bolivia?+
Cash, in bolivianos. Bolivia has a shortage of dollars, and the official rate at ATMs and on card payments is worse than at exchange bureaus; bring clean, undamaged dollar bills and change them at a casa de cambio in the centre. Cards are accepted only at better hotels and restaurants. In rural areas and at Uyuni, expect to need cash only.
How do I get from La Paz to Uyuni?+
By plane in 1 hour, with daily flights from El Alto, or by night bus in 10–12 hours; tourist buses are more comfortable and have heating. Trips to the salt flat and the lagoons in the southwest are arranged only once you reach Uyuni and last 1–3 days.
Is Death Road safe?+
With a good agency, a decent bike, a helmet and a guide riding ahead, the risk is small but not zero — several cyclists have died here over the years. Brake quality matters more than price. It's downhill almost the entire way, and even a less experienced cyclist can manage the descent, but anyone who doesn't cycle at all shouldn't join.
Do I need a visa for Bolivia?+
Visa requirements vary by nationality, but many travellers, including from the EU and North America, don't need a visa for tourist stays of up to 90 days. Yellow fever vaccination is required when travelling to lowland areas such as Rurrenabaque or Santa Cruz, and border officials may ask for the certificate on entry. It isn't required for La Paz and the altiplano alone.
How many days do I need for La Paz?+
2–3 days for the city itself, with the first day for acclimatisation. Then 2 days for Titicaca, 1 day for Tiwanaku or Death Road, and 3 days for Uyuni. For Bolivia as a whole, with La Paz, Titicaca and Uyuni, allow at least 10 days.
What are the cholitas luchadoras?+
Women's wrestling matches in traditional pollera skirts, bowler hats and braids, held on Sunday afternoons in El Alto. It used to be a display of pride by indigenous women who had been discriminated against for decades; today it's partly a show for tourists and locals alike. The tourist ticket includes transport from the centre, a ringside seat and often a drink and a souvenir.