Challenging but doable, we carry our own clothes and backpack. The Himalayas there’s a lot of ups and downs. They call it “Nepali flat”. HA. Anyways, we’ve taken people with vertigo and astma who were still able to pull it off. It’s more of a mental game, besides that, we will be preparing you as good as we can. Again, challenging but doable. You can always reach out to us if there’s a specific question regarding this.