Essential Equipment & Medical Supplies for Trekking & Peak Climbing

At Fourteen Summits, we understand that preparation is the key to a safe and successful trekking or peak climbing experience. To help you, we have compiled a comprehensive list of essential equipment, personal medical supplies, and potential medical conditions that trekkers and climbers may encounter at high altitudes.

Whether you are a beginner or an experienced climber, having the right gear and knowledge can make a significant difference in your comfort and safety. Please note that the items listed below serve as a fundamental guideline for your adventure.

Important Recommendations before Your Trip

• Familiarize yourself with all your equipment before departure.
• Understand basic high-altitude medical conditions, such as Acute Mountain Sickness (AMS), and learn how to manage them.
• Train physically by engaging in cardio exercises, strength training, and endurance-building activities at least 2-3 months before your climb.
• Ensure you have adequate travel insurance that covers high-altitude trekking and emergency evacuations.
• Pack wisely; keeping weight minimal but ensuring you have all necessary gear.

A. Required Travel Documents for Nepal

Before traveling, make sure you have the following documents ready:

Mandatory Documents:

• Valid passport with at least six months of validity from the date of entry into Nepal
• Two extra passport-size photos (for permits and trekking registration)

• International airline tickets

Nepal Visa & Entry Requirements:

• A Nepalese visa can be obtained on arrival at Kathmandu Airport or through the Nepalese embassy/consulate in your home country.
• You will need cash in USD for the visa fee (costs vary based on duration).

• A completed visa application form (available at the airport).

Additional Travel Essentials:

• Photocopies of your passport and visa (keep separate from the originals)
• Proof of travel insurance covering high-altitude trekking, medical emergencies, and helicopter evacuations

• Credit cards, bank/ATM cards (bring photocopies in case of loss)

• Local currency (Nepalese Rupees) for small purchases

 Essential Trekking & Climbing Gear

Personal Climbing Gear

Having the right gear is crucial for safety, efficiency, and comfort during high-altitude climbs.

• Harness – A lightweight, fully adjustable climbing harness that is easy to put on and take off.
• Ice Axe – General mountaineering axe, lightweight, and easy to handle.
• Crampons – Must fit your boots perfectly; lightweight crampons are preferable for ease of movement.
• Carabiners – Two large locking “pear” shaped and four regular mountaineering carabiners.
• Prusik Cord – Carry a couple of extra cords for emergency use.
• Ascenders – One left- or right-handascender (e.g., Petzl brand recommended).
• Jumar (Ascender) – Comfortable for use with gloves.
• Rappel Device – Figure 8, ATC, or similar for controlled descents.
• Helmet – Lightweight, impact-resistant, and essential for protection from rockfalls and ice cliffs.
• Trekking Poles – Adjustable poles are recommended for better balance on snowfields and rocky trails.

 Accessories

• Sleeping Bag – Rated to zero degrees Fahrenheit(colder conditions may require -20°F).
• Headlamp – With spare bulbs and extra batteries.
• Padlock/Combination Lock – For securing your trek bag.
• Basic First Aid Kit– See the Medical Supplies section below.
• Large Plastic Bags – To keep items dry inside your trek bag.
• Daypack – Capacity: 2,500 to 3,000 cubic inches for daily essentials.
• Water Bottles – At least two one-liter bottles.
• Toiletries & Small Wash Towel
• Raincoat – A lightweight, waterproof poncho or jacket.

Clothing Guide for High-Altitude Trekking

Dressing in layers is the key for adapting to changing temperatures and conditions. 

Head & Face Protection

• Sun Hat/Scarf– Essential for sun protection at high altitudes.
• Light Balaclava or Fleece Hat – For warmth in cold temperatures.
• Sunglasses – UV protection is essential due to intense sunlight at high altitudes.

Upper Body Layers

• T-Shirts – Moisture-wicking material recommended.
• Fleece Jacket or Pullover – Provides warmth and insulation.
• Windproof Jacket (optional) – Fleece Windstopper jacket for windy conditions.
• Waterproof Shell Jacket – Preferably breathable (e.g., Gore-Tex material).
• Down Vest or Jacket – Optional but helpful for extreme cold conditions.

Lower Body Clothing

• Hiking Shorts – Comfortable for warmer days at lower elevations.
• Lightweight Cotton Long Pants – Suitable for general trekking.
• Thermal Base Layers (Expedition-Weight)– For extreme cold.
• Waterproof Shell Pants – Preferably breathable fabric for protection against wind, rain, and snow.

Footwear

• Warm Wool Hiking Socks – Thick and moisture-wicking.
• Hiking Boots – Waterproof, ankle-supportive boots with spare laces.
• Camp Shoes – Lightweight sneakers or sandals for resting at campsites.

 Personal Hygiene & Medical Supplies

Hygiene Essentials

• Sunscreen (SPF 30+) & Lip Balm with SPF
• After-Sun Lotion (for sunburn relief)
• Anti-Mosquito Cream
• Toothbrush & Toothpaste
• Hand Sanitizer
• Fast-Drying Synthetic Towel

Medical & Emergency Supplies

• Personal Prescription Medications– Inform your guide about any health conditions.
• Blister Treatment Kit – Prevents painful foot blisters.

• Anti-Diarrhea Medication (Imodium)

• Pain Relievers (Aspirin, Ibuprofen, or similar)
• Altitude Sickness Medication (Diamox – Acetazolamide) – Consult a doctor before use.
• Water Purification Tablets– Must contains silver ions and chlorine or use a portable filter/UV sterilizer.

• Earplugs – Helpful in crowded lodges or campsites.
• Extra Glasses/Contact Lenses– Contact lens users should bring glasses as a backup.