Please Note: This trip involves considerable walking uphill and on uneven terrain, as well as some lengthy coach rides on unpaved roads. You should be in good physical condition to enjoy the tour to the fullest. While the elevations in Bhutan on this tour are not severe, the relatively high altitude of Thimphu and Paro (both 7,500 feet) and Gangtey (9,000 feet) could pose problems for travelers with certain health conditions. You should consult your physician if you have concerns.