How to pack for Bolivia's extreme altitude and weather changes

Pack layers for 15°F to 80°F temperature swings, bring altitude sickness medication, and focus on breathable materials that work from sea level to 14,000+ feet. The key is versatile pieces that handle sudden weather changes and oxygen-thin air.

  1. Start with base layers that breathe. Pack 3-4 merino wool or synthetic base layers. Avoid cotton completely — it kills you when wet at altitude. Bring both lightweight and midweight options since you'll layer differently at 12,000 feet versus 8,000 feet.
  2. Build your layering system. Pack a fleece or down mid-layer, a waterproof shell jacket, and a warm puffy jacket. You'll use all of these in one day as weather changes from scorching sun to freezing wind. Test this system at home first.
  3. Choose altitude-friendly footwear. Bring waterproof hiking boots with ankle support and a second pair of comfortable walking shoes. Your feet swell at altitude, so size up half a size. Pack liner socks plus wool hiking socks to prevent blisters.
  4. Pack for UV protection at extreme altitude. Bring SPF 50+ sunscreen, glacier glasses or wraparound sunglasses, a wide-brimmed hat, and a warm beanie. UV radiation increases 10-15% per 3,000 feet of elevation. You'll burn in 15 minutes at 13,000 feet.
  5. Prepare your altitude survival kit. Pack acetazolamide (Diamox) if prescribed by your doctor, ibuprofen for headaches, electrolyte packets, and a water bottle with measurement marks. Plan to drink 4-5 liters per day at altitude.
  6. Add weather emergency items. Pack waterproof gloves, a neck gaiter, thermal underwear, and rain pants. Afternoon thunderstorms hit fast and hard. Morning temperatures can be 40°F colder than afternoon temps.
How much warmer should I dress for Bolivia's altitude?
Temperature drops about 3.5°F per 1,000 feet of elevation. At 12,000 feet, it's roughly 40°F colder than sea level. But intense sun can make it feel 20°F warmer during the day, so you need layers you can add and remove quickly.
Can I buy altitude gear in Bolivia instead of packing it?
La Paz has decent gear shops, but selection is limited and prices are 50-100% higher than US prices. Quality varies wildly. Bring critical items like proper boots, base layers, and your shell jacket. You can supplement with local purchases.
What's the biggest packing mistake people make for Bolivia?
Packing cotton clothing and not bringing enough layers. People also underestimate how quickly weather changes — you need to be able to go from shorts to full winter gear in 20 minutes. And forgetting that your luggage might be delayed while you're heading to 13,000+ feet immediately.
How do I pack for both the Amazon and the Altiplano?
Focus on versatile pieces. Bring lightweight long pants and shirts that work in both environments, waterproof everything, and pack compression cubes to reorganize your bag. You'll essentially need two different climates worth of gear in one bag.