Mesokantola pass trekking via Tilicho Lake

Mesokanto La pass via Tilicho Lake trek is certainly offers best of the world trekking routes in Annapurna region, which embrace a superior diversity of landscape and society. It is one of those places that have had next to mythic connotation. The Annapurna undoubtedly provides some of the world's best trekking routes, including as it does a greater variety of scenery and culture than can be found in any other comparable area.

Passing along the banks of Tilicho Lake over the two passes (Mesokanto la 5200 meters and Tilicho pass 5230m) that guard it from the Kaligandaki Valley beyond. The route is still used and offers adventurous and fit tourist spectacular high peak panoramas. The trekking combines Tilicho, the highest lake in the world at 4919 meters with the beautiful Manang valley at the base of Annapurna and Thorong peak. Rough and charming tracks offer you the beautiful tourist attractions of lake Tilicho, scattered among natural vegetation with Himalaya views very close. This trek necessary to do two nights in tent camp with dry food which is very light to carry because there is no accommodation between Tilicho base camp until Jomsom.


Trip Duration      12 days  trek
Max. Altitude: 5200m./17160 ft.
Minimum Altitude: 1350m./4455ft.
Grade: Moderate
Activities: Trekking
Accommodation: Lodge/tented
Meals: Breakfast, lunch , Dinner with tea/coffee
Transportation: Overland/ Plane
Trek Departure: Every day throughout the week
Group Size: 2 persons (minimum) to 14 persons (maximum)
Best season: March, April, May, Sep, Oct & Nov.
Available Time: All months except December, January and February
Per day hiking: 4 to 6 hours

Suggested Itinerary 

Day 1: Kathmandu-Besi Sahar-Khudi- Chamje (1385m./4570ft.  ) 7 hours overland driving 
Drive to Chamje then stay overnight at lodge .
Meals included: Breakfast, Lunch, Dinner

Day 2: Chamje-Taal-Dharapani -Chame ( 2710m./8943ft.) 6 hours overland driving 6
You pass driving by fields of corn, barley and potatoes on your way through small villages of Khorte, Karte, Dharapani and continue to Chame . Stay overnight at a lodge .
Meals included: Breakfast, Lunch, Dinner

Day 3: Chame-Dukur Pokhari-Upper Pisang ( 3400m./11220ft.) 5 hours walk
A steep, narrow path through a very dense forest will bring you to the dramatic curved rock face, rising 1500m from the river. As the trail opens up, you will be surrounded by majestic Himalayan Peaks. After walking through these amazing sites you will reach Upper Pisang  then stay there overnight at lodge.
Meals included : Breakfast, Lunch, Dinner

Day 4: Upper Pisang- Ngawal-Manang ( 3500m./11550ft.) 4 hours walk
You will notice a contrast with the landscape and vegetation. The cold, dry climate creates a much harsher environment. Incredible views of the towering Himalayan Peaks. Stay there overnight at lodge.
Meals included : Breakfast, Lunch, Dinner

Day 5: Acclimatization
Rest day for acclimatization. Enjoy the fascinating village and immerse yourself in its wonderful culture. There are many opportunities for both easy and strenuous day. Explore with spectacular side trips to Bhojo Gompa or Gangapurna Lake and Glacier. Stay at same place overnight at lodge.
Meals included : Breakfast, Lunch, Dinner

Day 6: Manang- Khangsar ( 3734m./12322ft.) 3 hours walk
Trek to Khangsar . Stay there overnight at lodge .
Meals included : Breakfast, Lunch, Dinner

Day 7: Khangsar- Tilicho Base Camp ( 4150m./13695ft.) 4 hours walk
Trek to Tilicho Base Camp . Visit monastery on the way to Tilicho, walk up to Kharka there is seasonally tea house rest in there for tea or drink after this place you are very consideration to walk because few places trail are from landslide and some time rock are falling down until 20 minute before Tiliho base camp .  Stay there overnight at lodge .
Meals included : Breakfast, Lunch, Dinner 

Day 8: Tilicho base camp- Tilicho Lake ( 4920m./16236ft.) 4 hours walk
Trek toward Tilicho lake which is world's highest elevated lake. Stay overnight there at lodge.
Meals included : Breakfast, Lunch, Dinner

Day 9: Tilicho Lake- Mesokanto la pass ( 5121m./16899ft.) Mesokanto la kharka ( 4400m./14520ft.) 8 hours walk
Trek to Mesokanto Kharka via Mesokanto pass . After pass either you camp before pass as you wish. Tilicho Lake is highest Lake in the world is close to trail but you have time to see enjoy in there with beautiful place. Stay there overnight at tent .
Meals included : Breakfast, Lunch, Dinner

Day 10: Mesokantola kharka-Kaisang ( 3510m./11583ft.) 6 hours walk
Trek to Kaisang . Trail via High Kharka, camp side finally you arrive in Kaisang. Stay there overnight at tent.
Meals included : Breakfast, Lunch, Dinner

Day 11: Kaisang-Jomsom ( 2741m./9045ft.) 5 hours walk
Trek to Jomsom via Thini village just before Jomsom. Stay overnight there at lodge .
Meals included : Breakfast, Lunch, Dinner

Day 12: Jomsom-Pokhara ( 22 minutes ) flight
Fly early morning to pokhara . You will have wonderful flight to Pokhara as Annapurna range and Fishtail will be on left hand side and Dhaulagiri and other snowcapped mountains will be on your right hand side. 
Meals included : Breakfast

Trek Ends 

Annapurna Conservation Area Project ( ACAP)

The provision of  ACAP is to maintain and build local tourism infrastructure and preserve the nature.  Annapurna Conservation Area Project (ACAP)permit is necessarily required for this trip. It can be obtained from government registered trekking company as Nepal alternative treks & Expeditions.  It's fee is fixed by NTNC Rs. 3000 ( Three thousand  rupees) per person to Annapurna Circuit and ABCTrekking. You can not obtain along the entry point, they may return you without carrying ACAP permit. You need passport copy, one passport size photograph and fee in Rs. 3000 ( Three thousand rupees) or equivalent  in cash to apply the permit. This permit you can use only single entry in the area but no limitation of period. It is included in our package. 

Trekker's information Management System ( TIMS)

TIMS is compulsory for Mesokantola pass Trekking. The main aim of TIMS has come into implementation from Jan.2008.  Trekking agency's association of Nepal (TAAN) and Nepal tour tourism board (NTB) has jointly recording the trekker's detail and issuing TIMS for trekkers.

TIMS can be applied through Government registered trekking agency as Nepal alternative treks. TIMS fees are Rs. 2000 for individual trekkers and Rs. 10 00 for organized trekker. Individual TIMS has to be obtained at NTB in Kathmandu and Pokhara yourself . You are required passport copy, one passport size photograph and the amount Rs. 2000 for individual TIMS. You have to applied by Trekking agency if you are joined trekking agency and the amount is Rs. 1000 for company joined in cash. It is included in our package. 

Trekking Clothing equipment for Mesokantola pass Trekking

When you select your personal items, keep in mind the number of days you will be trekking, the time of year and the altitude. We advise our clients to bring these items:

- Lightweight walking boots "walked" them in prior to arrival in Nepal to avoid blisters. 
- Light weight pants, shorts
- At night -track top, pants 
-  T-shirts. 
- Long sleeve shirt, if susceptible to sunburn. 
- Sun hat - sunburn is severe at rarefied altitudes. 
- Thick outer wooden socks, thin inner cotton 
- Vaseline for feet and crutch.
- Water bottle - 2 liters.
- Sunglasses and strap 
- Small headlamp/flashlight /torch
- Personal medical supplies - do not forget ban - aids, elastic bandage 
- Sunscreen, sun bock, sun - tan lotion. 
- Small daypack - 25 liters. 
- Wind proof jacket  and rain jacket - poncho style to cover backpack. 
- Small towels 
- Warm down fiber filled jacket ( You can get on rent at Thamel) 
- Sleeping bag to -15c with inner sheet ( You can get on rent at Thamel) 
- Thermal underwear, woolen shirts and thick sweaters. 
- A pair of gloves 

Travel insurance 

It is a condition of joining any of our trips that be protected against comprehensive expenses potential to incur due to medical issues or accidents (to include air ambulance, helicopter rescue, and treatment costs). Please be noted that we don’t arrange or sell insurance. A relaxed trip is not possible without good travel insurance. In the event of any sickness or injury, the cost of emergency treatment and evacuation is shocking. Therefore, travel insurance is strongly recommended for everyone who signs up with Nepal alternative Trekking. 

Recommended Travel Insurance Companies

For Travelers from Thailand

  • AXA insurance Thailand -

  For Travelers from USA and  CANADA

For Travelers from ENGLAND

  • Ali Ramzi | Operations Specialist Specialty Group (UK) Limited - Europoint, 5/11 Lavington Street, London, SE1 0NZ, United Kingdom UK tel:  + 44 (0)20 7902 7405 UK fax: + 44 (0)20 7928 4748 USA tel: +1 215 489 3785 USA fax: +1 215 489 8525 Email:  For Urgent :
  • FirstAssist Services Limited Wheatfield Way, Hinckley Fields Industrial Estate, Hinckley Leicestershire LE10 1YG England Telephone 01455 251155 Fax +44 (0)1455 254001

For Travelers from EUROPE and SLOVENIA

For Travellers from AUSTRALIA and NEW ZEALAND

  • Cover More Travel   Insurance
  • CGU Insurance Limited
  • Worldcare Travel Insurance PO Box 162 Toowong Qld 4066 Australia Phone: 1800 008 614 between 0800 and 1800 AEST Monday to Friday E-mail:

For Travelers from SOUTH AFRICA Travel insurance Consultants Pty .Ltd 5th Floor, 296 Kent Avenue Randburg Johannesburg Cremerview, 2060 South Africa

What is Acute Mountain Sickness (AMS) ?

Acute mountain sickness is an illness that can affect trekkers at high altitudes, usually above 8,000 feet (2,400 meters). The highest point is Mesokanto la pass which is elevated at 5121 meter. If you be precautious about high altitude and follow our guide then you can avoid it. 

How do we know if I get AMS ?

Your symptoms will also depend on the speed of your climb and how hard you push (exert) yourself. Symptoms are as below:

  • Difficulty sleeping
  • Dizziness or light-headedness
  • Tiredness
  • Headache
  • Loss of appetite
  • Nausea or vomiting
  • Rapid pulse (heart rate)
  • shortness of breath with exertion
  • Cannot walk in a straight line


  1. Rest, Rest , Rest
  2. Go down, down, down
  3. Diamox

Diamox may be given to help you breathe better. It can help reduce mild symptoms. This medicine can make you urinate more often. Make sure you drink plenty of fluids and avoid alcohol when taking this drug. This medication works best when taken before reaching a high altitude.

Prevention and pre-cautious 

Keys to preventing acute mountain sickness include:

  • Climb the mountain gradually and slowly
  • Sleep at a lower altitude when possible
  • Learn how to recognize early symptoms of mountain sickness
  • Drink plenty of fluid – 3 liters per day
  • Avoid alcohol
  • Eat regular meals, high in carbohydrates
  • Sleep well
  • Be well equipped

First aid

Owing to a sudden change in climate, altitude and other factors, it is obvious that there could arise some alterations in your health. It would be hard to know all aspects of Nepal's health problems.You will be eating and drinking in various outlets. Diarrhea is a common illness that a tourist would be facing. So, it is recommended to drink purified water and eat in clean outlets. Drinking and eating precautions will surely help to take care of many health problems that could arise during the trip. Staying hydrated during the travel, trekking, tours is highly recommended too. If any problem should arise during the trip. Being on good health before leaving for a trip would help you to enjoy your trip to the fullest.Though Nepal alternative treks will be carrying first aid medical kid, you are also suggested to take personal basic first medicines for in case.


We will leave you free to choose hotel in Kathmandu and Pokhara as there will be various choices. We will arrange twin share basis room in lodges and tents in pass during the trek . We will arrange shared washing room and toilet.


During our trek, we can enjoy authentic Nepalese food as well the more common international cuisine (Tibetan, Continental, Italian, Indian, etc.) in lodges and basic meals during the pass. Threre will be provided breakfast, lunch and dinner three times along the route on your choice from MENU .

Physical Condition & Experience Requirements

Mesokantola pass Trekking is hard level of trek, suitable for passionate walkers who have the ability to walk at least 5-6 hours a day with a light rucksack. As we will  get the highest elevation 5200 meter, you are preferred an excellent health with average physical fitness, have a positive attitude and strong determination, we can accomplish the trek successfully. Exercising and jogging regularly is good idea to enhance our strength and stability. Past hiking experience would be an asset but no technical skill is required for this trip. Participants with pre-existing medical conditions such as heart, lung, and blood diseases should inform Nepal alternative treks before booking the trek.

Rita Beger

Really good trek with Dhan and Dal ; We met a lots of people from all over the world. We saw the life in mountains and it was amazing. I enjoyed the this pass by horse. It was really nice and helpful. I will do the trek again to go over the pass.  The services we got from this company is appreciated. We never forget !

Maik Reger

Hi All,
I have a nice trip with my family. My guide Dhan was the best. I will come back. Thank you !

Siobhan Murphy

The Trek was excellent. The service has been brilliant from before we left the UK and the whole trip. I can't fault the services- problems sorted out immidiately Mr. Dillip and Lal porter were excellent, helpful and always cheerful. We will always remember the trip. I will recommend this company to everyone and I hope you continue to be scuccessful Tej. 





Thank you Tej and Nauser For ever ...


We did the Manaslu circuit and Tsum valley. ...

Nepal Alternative Treks

Thamel, Kathmandu, Nepal
Phone: 977 1 4414454
Cell: 00977-9851130491

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