Electrical outlets and currents vary from country to country. In this guide, learn about the electrical system in Peru, Peruvian outlets, and how to adapt when visiting from another country. 

What Is The Most Common Peru Outlet Type?

The International Electrotechnical Commission publishes a standard system of electrical outlets, to make it easier to identify outlets used around the world. You can explore the IEC’s World Plugs Map to learn about the electrical potential, voltage, frequency, and plug types compatible with different countries’ power grids.

At the bottom of the map, you’ll find a key depicting all electrical plug types used worldwide, from A to O. 

Type A and type B plugs are the only types used in the U.S. and Canada.

According to the IEC, “The Type A electrical plug (or flat blade attachment plug) is an ungrounded plug with two flat parallel pins…the neutral pin on the American plug is wider than the live pin.” 

In contrast, the Type B plug has three pins: “two flat parallel pins and a round grounding (or earth) pin. The earth pin is longer than the other two.” The length ensures the device is grounded before the power connects.

In Peru, the most common outlets are also type A. However, type C outlets are also very common, and most wall outlets feature both “A” and “C” plug options. 

The IEC notes, “The Type C electrical plug (or Europlug) is a two-wire plug that has two round pins. It fits into any socket that accepts 4.0 – 4.8 mm round contacts on 19 mm centres…Type C plugs are generally limited for use in appliances that require 2.5 amps or less.” 

Type B outlets are technically still compatible with Peru’s electrical grid. But, they’ve essentially been phased out. 

What Is The Voltage and Frequency of Electricity in a Peruvian Electrical Outlet?

All electrical outlets in Peru are connected to the grid, which pressurizes electricity through the circuit at a 220V rate. Peru’s primary power grid uses an alternating current (AC) at a 60Hz frequency.

The power grids of the United States and Canada both run electricity at a rate of 120V. Like Peru, the U.S. and Canada also use an electric AC at 60Hz. Thus, an adapter for U.S.-based or Canadian devices or appliances need only adapt to the difference in voltage. 

In contrast, the U.K. and Australia largely use 230V electrical outlets at 50Hz. 

How To Choose a U.S. to Peru Power Adapter & Voltage Converter

A power adapter changes AC electricity to D  to empower a device that can only intake DC currents (like a laptop or smartphone). Most laptop and phone chargers are power adapters. 

Certain power adapters—particularly those marketed as “travel adapters”—are multifunctional: in addition to AC/DC conversion, they can connect to a specific outlet type and empower a powerstrip incorporating different outlet types. This lets you run an appliance with a Type B plug on power from a Type C outlet.  

Power adapters are not inherently voltage converters. Voltage converters are often necessary when traveling to Peru; you don’t want to overload a device meant to intake 110V with a 220V current. 

110v-120V Appliances Vs. Dual Voltage Devices In Peru

Most appliances (like hair dryers) are designed to be compatible with the voltage of your country’s grid. So, most U.S.-market and Canadian appliances are 110V rated. 

That said, some devices are “dual voltage,” which means they can work with a wide range of voltages. For example, all MacBooks are designed to operate on either 110-120V or 220-240V power systems. Likewise, most laptop chargers support a 100V-240V range of electrical inputs. 

In these cases, you won’t need to use a voltage converter. Instead, a travel adapter should be fine on its own. 

Voltage Converter Power Ratings

For devices that do need a voltage converter, look up the device’s wattage. Most appliances will list their wattage rating (W) on a technical label on the object’s surface (usually its underside). Others will list wattage in the user manual or on the manufacturer’s website.

Then, choose a voltage converter with at least 2x the wattage rating of your electrical appliance. Travel professionals recommend a converter with a 3x higher wattage capacity if the device utilizes surge power (like a laser printer). 

For example, a freestanding speaker might be 200 watts, and a film projector 300 watts. If you plan to run them both during a party in Peru, you’ll want a step-down voltage converter with a 1000W capacity—twice the combined wattage of your devices. In contrast, phones and laptops typically use chargers ranging from 18W – 230W.  

Note On Short-Term-Use Devices

Short-term-use devices don’t necessarily require a converter with twice their wattage capacities. 

For instance, travelers often bring hair dryers, which typically use 1400W of electricity. Fortunately, it’s usually safe to use a converter with a 25% higher wattage capacity than a hair dryer, as they’re only used once per day for 5-10 minutes (at most). So, hair dryers only need a 1,750W+ capacity converter. 

In addition to capacity, consider the converter’s portability, price, and weight. If you’re traveling light, make sure you can keep to the bag weight limit or size limit for the airline you’re using. 

What’s The Best Power Adapter For Peru Visitors From The U.S. and Canada?

The best power adapter depends on whether you need a step-down converter, how much power you need from the adapter, and whether you have additional considerations (like price, safety, or weight requirements. 

For Americans and Canadians who need only charge their dual-voltage laptops and smartphones, an adapter may not even be necessary. A laptop charger compatible with Type A outlets and 220V currents should work just fine in Peru. That said, a basic travel adapter is helpful, even for dual-voltage devices. 

Best Adapter For Dual-Voltage Devices (Non-Converter)

The EPICKA Universal Travel Adapter isn’t a voltage converter. However, it can work with Type A and Type C outlets, and its maximum capacity on a 220V main is 2400W. It does effectively adapt AC power to a DC current compatible with its USB ports. It costs about $22 and weighs less than half a pound.

Best Combination Step-Down Converter & Adapter For High-Watt Devices

For visitors from the U.S. and Canada charging higher-power devices, the 2000W Ceptics 220V-110V Travel Voltage Converter is ideal. 

The step-down converter is compatible with Type A, B, and C outlets, weighs 1.54 lbs, and can connect to up to 7 devices through its ports and outlets. It’s a reputable brand, and it costs around $60-$80. Be wary of any converter claiming a similarly high capacity at half the price or less. 

Best Travel Adapter & Converter For Low-Watt Devices

If you need a step-down converter, but don’t need the power, there are more options. Look for models with protective features, like surge protectors. 

The BESTEK Voltage Converter & Travel Adapter has a limited, maximum output of 150W. Yet, that’s all you need to charge a phone or tablet. It converts 220V to 110V, it’s compatible with Peru’s Type A outlets, and it incorporates a built-in fuse to prevent overloads. At $29, it’s one of the most affordable converters on the market. 

Explore Peru With Caravan

At Caravan, our professionals do all the planning, so our guests never have to stress. Appliances and chargers? We’ve got it all handled. 

Our all-inclusive Tour of Peru With Machu Picchu is professionally curated. Every overnight accommodation, meal, event and transportation is hand picked by our travel directors for the experience it grants. 

To book your spot, call us at 1-800-227-2826. Or, contact our team at +1-312-321-9800 to learn more.

In 2023, UNESCO officially inscribed “ceviche” on The Representative List of the Intangible Cultural Heritage of Humanity. The list names cultural traditions and arts important to humanity’s heritage—those worth protecting and preserving on an international level.

The inscription defines ceviche as, “a traditional dish in Peru prepared with raw fish marinated in lemon, seasoned with chili pepper and salt and accompanied with locally grown produce.” UNESCO goes on to describe ceviche’s cultural and culinary importance in Peru—and well beyond its borders.

In fact, the dish is so widely beloved that, in 2025, the Peruvian Nikkei cuisine restaurant Maido ranked as the #1 Best Restaurant In The World. Maido’s rising star can be credited to one much-praised offering: chef Mitsuharu “Micha” Tsumura’s phenomenal ceviche tasting menu.    

What makes ceviche so great? Discover the culture, culinary art, and history of the ultimate Peruvian dish.

What Makes Ceviche The Most Iconic Peruvian Dish?

The short answer is, the National Institute of Culture of Peru, part of the government’s Ministry of Education, made ceviche officially Peru’s national dish in 2004. 

Yet, the truer answer is ceviche has been an iconic part of Peruvian culture for centuries and generations. It’s eaten in almost every household, both on special occasions and for day-to-day meals. 

Almost every town has at least a few popular Cevicherías (or, cebicherias), and many Peruvian chefs are recognized for their takes on the traditional recipe. It’s deceptively simple, flavorful, and available in abundant variations—traits making it a dish beloved by the people of Peru. 

How Is Ceviche Traditionally Made?

Traditionally, ceviche has four elements.

1. Fresh-caught, raw white fish

a. Iconically, the fish is sea bass or halibut, cut into small, firm cubes.

 

2. Citrus fruit marinade (or, a marinade of fruits with similarly acidic juices)

a. Popular fruit juices include lime, bitter orange, lemon and grapefruit.

b. More rarely, passionfruit,  aji amarillo chilis, mandarins, and other fruit juices are mixed in.

 

3. Chili and salt preservative mixture

a. The mixture is added to the marinade to cure the fish

b. Optionally, garlic or cilantro are added. 

 

4. Accompaniments 

a. Traditionally the fish is served on a bed of sliced onions, sweet potato, and Peruvian corn (choclo).

b. Rich “tiger’s milk” broth, fish bone broth, or cancha (toasted corn nuts) are also popular sides. 

These elements can be changed up to introduce new flavors, or adapt to agriculture or ecological changes. 

What Does Ceviche Taste Like?

The taste of ceviche varies depending on which ingredients are used to make it. Yet, the dish’s surprising lightness is a recurring theme.

In a piece for Hakai magazine, food writer Timothy Taylor describes making different ceviche dishes in homage to his mother, for his son. He writes:

 “My eyes close, and I’m instantly in that dining room, those buckets giving off the aroma of a spicy, citrusy sea… There’s no harshness to the onions, which have become almost entirely sweet. There’s almost no acid to the lime juice, which has taken up the shrimp and become only fragrantly briny. 

But the shrimp themselves are the biggest and most wonderful surprise, faintly effervescent, as if what started so absolutely fresh could be made yet fresher. Tangy, sweet, crisp on the palate.

“They taste alive,” says my son. “If you know what I mean.”

Some variants have more of a “kick” to them. Others are a delicate balance of tang, zest, and sweetness (courtesy of the sweet potato). 

As Peruvian New Yorker Monique Loayza explains, “A great ceviche is a perfectly composed mix of flavors, ranging from spicy to sour, and textures from soft to tender to crisp.” 

The lightness and melt-in-your-mouth textures bely surprising complexity. In a profile of Peruvian chef Gaston Acurio, Adam Sachs writes, “One taste of the tangy, salty, rocoto pepper-spiked [ceviche] and it’s easy to see why this quickly prepared, dead-simple dish of acid-kissed fish is so enduring.”

Popular Ceviche Variations

Chefs vary ceviche recipes by using different sea-based proteins, incorporating different ingredients into the marinade, and taking inspiration from different cultures. Shrimp, squid, and black shellfish ceviches are popular, as are hot habanero or sweet mango marinades. 

Cities and regons take certain variants and run with them. Fried plaintains are the accompaniment of choice in Chiclayo. Arequipeños boil river shrimp in ceramic pots for their version, known as “Hot Stone Shrimp Ceviche.”

In Lima, tiradito ceviche is a hot, sashimi-inspired version: sliced fish (not cubed), cured in a brew of yellow aji amarillo pepper paste, garlic, ginger, Peruvian pisco (distilled wine), and—optionally—soy sauce or chili sauce. 

Where Does Ceviche Come From?

Ceviche is a dish with a rich and complex culinary history. It has deep Peruvian roots; precursor dishes were created by peoples in Peru’s north-central river valleys as far back as 5000 years ago. 

Yet, it’s also been shaped by wildly diverse cultures over the millennia—from ancient Moche and Inca tastes, to more-recent Spanish and Japanese influences. To understand where ceviche really comes from, its history is key. 

Where Did Ceviche Originate? (History & Timeline)

Like most cultural creations, ceviche wasn’t created by a single person in a grand historical event. Instead, the dish grew into the meal we know and love over time. 

Roughly 5000 years passed between its earliest origins and its present state. Across millenia, ceviche evolved: eaten and altered by several distinct civilizations, adapting through massive technological and cultural shifts, and arriving in our modern era as an iconically Peruvian, global phenomenon.   

Ceviche’s Ancient Origins

Culinary historians often point to a marinated fish dish eaten in the Moche civilization as the first ceviche. Yet, precursor dishes predate the Moche by several thousand years. How similar must a recipe be to “count” as ceviche’s origin point? 

3000 B.C. – 1800 B.C. Raw Fish Dishes of The Caral Set Stage For Ceviche

The Caral were an early civilization, living in Peru’s Supe Valley and its central coast for roughly 1,200 years. Caral ruins date back to 3000 B.C. 

The Caral people flourished thanks to their mastery of river irrigation, fishing, and a proto-writing system using knots (called Quipu). Their diet balanced starchy, nutrient-rich plants—including sweet potato, squash, chili peppers, carob, beans and maize—with locally-sourced seafood. 

Evidence suggests they usually prepared fish and vegetables by roasting them together with spices. However, in 2023, archeologist Ruth Shady discovered the Caral did occasionally eat a ceviche-like dish: raw anchovies with salt and chili. 

Other evidence suggests the acidic tumbo fruit may have also been part of this dish. 

While it isn’t exactly ceviche, it incorporates many of the core elements. When the Caral civilization fell away, its culture influenced later groups—including the Moche.

100 A.D – 800 A.D. The Moche Civilization Invents First Ceviche Recipe

The Moche people lived in the Moche River Valley and the Northern Coast of Peru for 700 years. Their civilization merged with and learned from nearby cultures, including those that had passed decades or centuries before.  

While there’s at least one known Moche pyramid, Huaca del Sol, they’re largely known by their textiles, pottery, and tombs. Like the Caral, the Moche used the Quipu system to keep records, and they could very likely read the records of peoples who came before.

Thus, it’s possible the Moche learned of the Caral people’s recipes and dishes from reading their records and modifying them. It’s also possible they came to invent their ceviche on their own.

Either way, the Moche were the first people to create a dish broadly recognized as ceviche. The Moche’s ceviche was highly similar to ours, and they had extensive, long-distance trade networks. Unlike previous civilizations, they were uniquely able to spread their culture and cuisine far and wide. 

Thus ceviche was seen as a Moche dish—and the start of a continent-wide phenomenon.

Moche Ceviche Ingredients

Moche ceviche was raw, cubed fish, cured in an acidic fruit and salt mixture. As limes were not yet part of the local agriculture, they used different fruit with similar levels of acidity for their original recipe, likely tumbo fruit juice or chili peppers

Tumbo fruit is similar to passionfruit, though it’s slightly less acidic, tart, and rarely eaten raw.  Aji amarillo, a flavorful pepper of moderate heat and acidity, is another likely candidate—particularly given its significance in Moche culture. 

1430 A.D. – 1530 A.D. “Chicha” Ceviche Variant Popularized In Inca Empire

The version of ceviche created and spread by the Moche remained the most popular for centuries. Then, in the mid 15th century, the Inca Empire put their own twist on the dish—creating a kingdom-wide hit.

Chicha, also called “chicha de jora,” was the most popular drink in the Inca civilization. It took Jora corn, a locally-adapted type of malted maize, fermented it (often with chancaca cane sugar), and boiled into beer.

Thanks to chicha’s popularity and ubiquity, the Inca prepared ceviche in it instead of the more traditional fruit marinade. Though, Incan ceviche did still incorporate chili peppers and salt while curing the dish. 

Chicha-style ceviche is still popular in Cusco, the former heart of the Inca Empire. 

1532 A.D. – 1821 A.D. Spain Conquers Peru, Alters Ceviche With Citrus, Cilantro

Spanish conquistadors arrived in Peru in the mid-16th century. With them, they brought the riches of their previous international conquests and trade.

When Spain took over Peru, they brought a wide range of citrus fruits and spices to the land for the first time. These included:

  • Cilantro and coriander, native to the Mediterranean 
  • Limes, native to Micronesia and Polynesia (though they were grown in the Mediterranean by 1000 B.C.)
  • Lemons, native to India and the Himalayas
  • Mandarin oranges, native to China

Citrus fruit and spice imports ultimately changed Peruvian agriculture. Today, most ceviche uses a citrus fruit blend in its marinade. 

Ceviche In The 20th & 21st Centuries

By the 1900s, Peru started changing quickly. Ceviche—and Peru’s culinary scene as a whole—adapted fast. 

1899 A.D. – 1989 A.D. – Japanese-Peruvians Enhance Ceviche With New Techniques

In 1878 Peru formed a diplomatic relationship with Japan, signing the Treaty of Friendship and Navigation. Soon after, Japanese people started moving to Peru, and roughly 30,000 Japanese called Peru home by 1940. 

These immigrants, called Nikkei, included cooks and chefs who introduced Japanese cooking techniques into Peruvian culture.

In Japan, the art of preparing raw fish was an elevated culinary form. Nikkei chefs began using sashimi and sushi techniques to make ceviche. They created lighter marinades with different ingredient blends, used shorter marinade times, solely served fish caught that morning, and focused on presentation as much as flavor. 

These changes elevated the general public’s perception of ceviche. Before Nikkei influence, most Peruvians saw ceviche as a basic fisherman dish. 

Fishermen would often marinate ceviche for 12-24 hours, to preserve it for long days at sea. But, this would change the fish’s texture and flavor into something fairly dense and somewhat bland. 

Nikkei chefs were unconcerned with preservation, instead focusing on freshness. This led them to the light, flavorful interpretation that defines ceviche today. Moreover, they created a variant dish called tirado: marinated raw fish sliced thin, like sashimi. 

By the mid-20th century, Nikkei chefs started opening cevicherias—restaurants wholly dedicated to ceviche—in Lima. They proved to be a smash hit. Ceviches continued to be popular among Peruvians and, eventually, international guests. 

1989 A.D. – 2005 A.D. Chef Gastón Acurio Brings Peruvian Cuisine To Global Stage

Ceviche found itself in a global spotlight thanks to Peruvian Chef Gastón Acurio. His restaurant routinely tops lists of The Best Restaurants In Latin America, and his popularity cannot by overstated.

The award-winning chef championed the ceviche as the heart of Peru’s food culture in international media. Moreover, from NPR in the United States to the BBC in the UK, Acurio has made a goal of equating Peruvian food with five-star cuisine.

His emphasis on local ingredients, simplicity, and flavor, shifted how people experienced the dish worldwide. 

2004 A.D. Ceviche Is Named Peru’s National Dish By INC

By 2004, Peru’s Ministry of Culture named ceviche the national dish. The declaration was praised almost universally among Peruvians—chefs and food fans alike. 

2008 A.D. Peru Declares June 28th National Ceviche Day

In 2008, campaigns by Peruvian cevicherias succeeded. National Ceviche Day was declared an official holiday, celebrated on June 28th each year. 

Visitors can enjoy day-long ceviche festivals, competitions, and food fairs in cities across the country. Lima and Huancayo host the biggest events.  

2023 A.D. UNESCO: “Peruvian Ceviche Is Intangible Cultural Heritage of Humanity”

In 2023, ceviche was granted elevated status and protection. UNESCO, an international nonprofit devoted to preserving history, added Peruvian ceviche to its official list of the Intangible Cultural Heritage of Humanity. 

This recognition enshrines the dish for study, protection, and celebration. 

3 Fun Facts About Ceviche

The food chemistry of ceviche is intriguing. It’s lingustic roots are a bit of a mystery. Its cultural impact shouldn’t be understated.

1. Ceviche Marinades “Cook” Fish Proteins Via Acid Denaturation

The low ph of the acidic marinade breaks down certain weak chemical bonds in the protein’s structure, causing the proteins to fold. Thus, the denatured proteins are structurally altered, changing their shape and texture without depleting their nutrients. 

2. The Word “Ceviche” Has Four Possible Origins

Linguists have four different hypotheses about where the word “ceviche” comes from. It might stem from the term “siwichi: a word in Quechua, the language of the Inca and their descendents, meaning “fresh fish” or “tender fish.” 

Alternatively, it could come from the now largely-lost Trujillo, the language of the ancient Moche and Qingnam. Among the Trujillo terms we’ve preserved is “xiak vik” / “tsek vich,” a phrase meaning “chopped fish.” 

It’s easy to hear how “tsek vich” might’ve changed into “ceviche” over time. The word ceviche might have evolved from the term “viche,” a word in the ancient Latin American Chibcha language meaning “tender.” 

The least likely origin, while still plausible, is the term began with the medieval Spanish and Moorish word for a pickled dish, “escabeche.” It eventually evolved with regional dialects into “ceviche.”

3. Over 30+ Latin American & Caribbean Countries Have A Unique Ceviche Style

There are 20 Latin American nations, 18 of which have adopted ceviche into their culinary culture. All 13 independent Caribbean countries have a take on ceviche, many of which draw their own admirers. 

For instance, Ceviche Dominicano often uses shrimp, crab, or conch meat, cured in a lime marinade. Yet, the marinade has an undeniably Dominican twist: bell peppers, tomatoes, avocado slices, and native Dominican “stick” oregano create a boldly flavored ceviche, earthier and slightly sweeter than its Peruvian counterpart. 

Enjoy A Peruvian Culinary Adventure With Caravan

 Experience a food journey through Peru unlike any other. On Caravan’s Tour of Peru With Machu Picchu, our travel directors have hand selected diverse, delicious, culturally-rich dining experience every day of the week. 

Maybe you’re excited to try a new variety of ceviche in every city. Or, maybe you want to dine on authentic Inca cuisine: drink chicha de jora with a plate of chuño potatoes at Machu Picchu. For some, desserts like picarones make the night. No matter your palate, Caravan’s all-inclusive trip has something to offer. 

Contact us by phone at 1-800-227-2826 to book your ticket today. Or, call 1-312-321-9800 to learn more.

Peru is a nation with thousands of years of culinary history: a cultural richness reflected in its desserts. 

Whether you’re hiking through villages of the Andes, enjoying fine dining in Miraflores, or taking a romantic walk on the beaches of Lima, there’s sweetness to be found. On your next Peruvian adventure, why not check these must-try desserts off your list?

What Makes Peru’s Desserts Memorable?

Peru’s desserts are decadent delights. Like other parts of its dining scene, Peruvian desserts have been shaped by the country’s rare heritage. 

Every recipe can draw on thousands of years of indigenous culinary cultures, trade with Latin American neighbors, European influences first introduced by Spain, and the more recently influential palates of Japan. 

Modern foodies savor surprising flavor profiles in each bite: symphonies of global spices and sweetness. 

Peruvian Dessert: Tasting History

Sugar wasn’t a staple crop for ancient Peruvians. Instead, the people of The Inca Kingdom, and the far earlier Moche and Caral civilizations, used other sweeteners. 

As early as 5000 BC, the Caral grew a tuber varietal called “sweet oca,” a root vegetable with fig-like sweetness, firm flesh, and crisp juice. They and subsequent people used sweet oca as a starchy basis for early desserts. 

Indigenous Peruvians also learned how to bake early on. Andeans began baking with corn flour 4000 years ago. This is likely when the earliest version of Peruvian sweet breads originated. At the same time, people in these ancient civilizations sometimes prepared sweet meals with local tropical fruits and honey. While we might not categorize that as dessert today, it formed the culinary foundation.

The first unambiguous desserts in Peru happened when the Spanish and the Inca met, in the mid-15th century AD. New crops, including cane sugar, were introduced to Peruvian soil. Inca flat breads previously eaten with honey could now be baked as sweetbreads.

From there, international trade, immigration, and the innovation of Peruvian chefs grew Peru’s desserts into truly iconic confections. 

Spotlight: Peru’s Top Dessert Chefs 

Two chefs have made quite the impact on Peru’s dessert scene. The first has garnered traditional pastries international renown. The second creates bold, new chocolate creations the way only Peruvians can.

Sandra Plevisani

One of the first chefs to bring Peru’s desserts into the spotlight was Sandra Plevisani. Lima’s “Queen of Dessert” is a self-taught pastry chef determined to keep the dessert traditions of the Andes alive. 

For years, she’s traveled the country to collect and preserve the sweet recipes of different parts of Peru. Always, she presents them with honor—both in her cookbooks like Los Dulces de Moquegua, and on her hit cooking show. 

Whether she’s rolling out local macerados and guargüeros, or baking platter-size gateau, Plevisani brings Peruvian desserts to the global stage like no chef ever before. 

Astrid Gutsche

Astrid Gutsche is the head pastry chef at Astrid y Gaston. It’s Lima’s most popular eatery, and its one of the highest-rated gourmet restaurants in Latin America. 

Gutsche’s passion is chocolate. Her truffles have earned a reputation for bringing together rich, locally-sourced flavors you wouldn’t expect together, packaged in a perfect, delicate cocoa sphere. 

The location can’t be dismissed. For Gutsche, Lima is the only place for certain confections like the Magic Box sweet potato truffle. It’s a dark chocolate sphere dipped in salted Andean crisp corn, then filled with a fluffy, Peruvian sweet potato ice-cream ganache.

17 Must-Try Peruvian Desserts

The best desserts offer complex flavors, richness, and, above all else, sweetness. Discover 17 excellent Peruvian desserts that do exactly that.

1. Picarones Peruanos

Picarones Peruanos are Peruvian donuts. Traditionally, they’re made with sweet potato flour and squash, fried in a batter mixed with warming spices, and drizzled with chancaca syrup. 

Picarones Peruanos were developed during the Spanish colonial era, as Spain imported the unrefined cane sugar used to make chancaca. Chancana differs from most sugar syrups: sugarcane juice, cinnamon, cloves, orange peels or lemon zest are simmered into a dark, rich solution. 

In that era, Afro-Peruvians adapted recipes for buñuelos (Spanish fritters) using local ingredients, creating the first picarones. Soon after, the Peruvian donuts were popularized by the St. Clare’s Monastery in Lima. 

Picarones are particularly popular as a late-night snack. In Lima, picaroneras are open at all hours—particularly in Miraflores! There are also a few 24-hour picaroneras in the Barrios Altos neighborhood, in honor of the monestary’s history. 

Foodies recommend getting picarones and a savory anticucho kebab at the same time. They’re traditionally served together, and the grilled beef balances out the dessert’s sweetness. 

2. Arroz Zambito

Arroz Zambito is a type of rice pudding “kissed by the sun.” Like picarones, it incorporates chancaca for a caramelized sweetness.

As a rice pudding dessert, arroz zambito is creamy, and it’s often milk-based. It’s often flavored with raisins, coconut shavings, and nuts, though every chef puts their own spin on it. 

3. Pionono Peruano

Pionono peruano, or a Peruvian pionono, is a type of gateau–a jelly-roll-like sponge cake–filled with dulce de leche. The cake itself is light, airy, and delicately moist.

Unlike the more complex torta helada gateau, a pionono is a single, rolled layer. Toppings are optional. 

Piononos hold a place in the hearts of Peruvians. It’s often baked for family celebrations and special occasions with loved ones–particularly Father’s Day, Mother’s Day, and birthdays. Many of the most beloved versions of piononos feel more like home than like fine dining. 

Family recipes are common, with many variants showing a bit about the region or culture. 

For example, aguaymantos (goldenberries) are important to many indigenous, Andean communities. Among Quechua families, the berries connect them to their Inca royal heritage. Thus, they often add aguaymanto jelly to their piononos. 

The goldenberry jelly layer or topping has a tartness that balances the sweet dulce de leche. Moreover, the dessert becomes meaningful beyond the immediate celebration. 

To taste the best piononos, look for a pastelería specializing in homestyle baked goods. Be sure to try different versions in different towns or neighbors! 

4. Mazamorra (Sweet Version)

Mazamorra is a starchy pudding, akin to a thick pie filling, popular throughout Latin America. Depending on its preparation, its thickness and texture to an American custard, marmalade, or a jello-like compote. 

While there are savory mazamorras filled with lentils or vegetables elsewhere, Peruvian mazamorras are fruit-filled desserts. There are two types: mazamorra morada (purple corn pudding), and mazamorra de caya (sweet oca compote). 

Here, millenia-old traditional dishes—like corn ishkupcha and Andean highland porridge—were transformed in the Inca Kingdom. 

The Incas innovated with traditional dishes, adding new Spanish ingredients to, ultimately, create mazamorra morada. 

Today, this sweet purple corn pudding is a culinary touchstone. It uses a potato starch and cornstarch to thicken a sweet, jam-like blend of fruits and spices, and it holds whole fruit pieces inside. Food writers often describe it like a blackberry pie filling with a tropical twist. 

It’s typically made alongside chicha morada. After the first phase of preparation, the remaining corn and fruit juice can be used for the popular corn drink. 

Mazamorra de caya is less common, but it’s still a beloved dessert. It originates in the Andean mountains, where the oca tuber has been a staple crop for millennia. Traditionally, it’s made by drying sweet oca in the sun, then blending it with sugars, starches, and spices into a gelatinous dish. 

Andean mazamorra de cayas are thicker than their purple corn counterparts, and they’re often served over custard or ice cream. 

While mazamorra de caya was initially exclusive to central Peru, you can now try both types of mazamorra in Lima.

If you visit in October, you might see quite a bit of mazamorra morada sold by street vendors in honor of The Lord of Miracles. The month-long celebration is thematically purple, symbolizing the resilience and faith of the Peruvian people. 

5. Humitas Dulces

One of the oldest desserts in Peru is humitas dulce: traditional Peruvian sweet bread.

Unlike other popular treats, humitas dulces didn’t change much upon Spain’s arrival. The Incan recipe was a semi-sweet flatbread baked with corn flour and fats, traditionally drizzled with honey and served in corn husks.

Yet, humitas likely predated the Inca Empire. Archeological evidence suggests earlier civilizations baked cornbreads akin to humitas thousands of years ago. Many of these civilizations–the Wari and Moche among them–baked with under-earth ovens called pachamanca. A few, like the Waqrapukara, even kept bees for honey. 

Today, humitas dulces have evolved beyond honeyed cornbreads. They’re more like corncakes: sweet, soft, steamed desserts. Most are rich, made with vanilla, cinnamon, butter, and evaporated milk, and baked with raisins or cinnamon inclusions. 

Visitors can find humitas dulces in most Peruvian neighborhoods and towns. That said, they’re particularly popular in Cusco, with an abundant variety in the city’s bakeries and grocers. 

6. Buñuelo

In Peru’s culinary history, buñuelos are precursors to picarones. Like picarones, they’re donut-like (fritters). They’re simpler, though: fried balls or discs of wheat-yeast flour and anise.

Buñuelos were first created and popularized by the Mudéjars and Moriscos in Spain, an ethnic and cultural minority. In the 17th century, Spain expelled the Moriscos, forcing them to take refuge in other countries. For some, that meant Peru. 

While Moriscos brought their culinary traditions with them, buñuelos were already somewhat popular in Peru by the time they arrived. The fritters were broadly popular in Spain at that point, and most Latin American regions’ communities had put their own spin on the treat. 

In Peru, buñuelos led to the invention of piracones. In turn, picarones influenced Peruvian-style buñuelos. Like buñuelos elsewhere, Peru’s variants are made with wheat flour–a crop that took some time to adapt to the region. 

Unlike other countries’ versions, though, Peru’s Buñuelos are strictly sweet, rather than savory. Moreover, the lower gluten inherent to Peruvian wheat gives resulting buñuelos a crumbly texture. As a result, most are made with extra butter and eggs to compensate, creating a cake-like texture. 

While buñuelos are less popular than picarones in Lima, you can find them at most dessert bakeries. 

Buñuelos are more popular in Arequipa, where Moriscos had a greater cultural influence. 

7. Frejol Colado

Frejol Colado is a sweet black bean butter or pudding garnished with sesame seeds.

It was first created by Iqueño Afro-Peruvian communities in the Cañete and Chincha valleys of Peru, during the Spanish colonial era. Because they didn’t have access to flour for baking, they instead made desserts with ingredients at hand: milk, chancaca, warning spices, and beans. 

Frejol colado is traditionally made for Holy Week, though it can be eaten at other times. Recipes are often passed down through generations, and the dish has come to symbolize the resourcefulness of Afro-Peruvian peoples.

Today, visitors can try the most praised versions of frejol colado in Chincha Alta, the birthplace of the dish. It’s also not hard to find in the dulcerías of Lima. 

8. Suspiro Limeño

Suspiro Limeño is a romantic, fluffy, layered Peruvian merengue.

Its name translates to, “Sigh of a Lady of Lima.” According to legend, the poet José Gálvez Barrenechea inadvertently named the dish when he described it as “sweet and light as a woman’s sigh,” in his Lima Chronicles. 

Suspiro Limeño is often layered into a wine glass to serve. The base layer is manjar blanco, a slow-cooked, caramelized dulce de leche custard, thickened with egg yolk. The top layer is an airy meringue cloud. While not traditional, popular variations infuse one or both layers with a port wine, for flavor. 

Visitors can taste Suspiro Limeño at almost every restaurant in Lima. One of the best versions is served at Restaurant Huaca Pucllana, not far from Miraflores. 

9. Alfajores

Alfajores are shortbread cookies sandwiches with a crumbly, melt in your mouth texture. 

Alfajores were first invented in Arab cultures of West Asia and North Africa, and they quickly gained popularity in Spain. Spain introduced them to Latin America, and the cookies became a staple of Argentina’s afternoon tea. 

Yet, countries outside Argentina put their own spin on them. Traditionally, Peruvian alfajores are filled with manjar blanco, a sweet caramel cream. They’re also served with coffee, rather than tea. 

Tradition isn’t law, though, and modern pastry chefs love to mix it up! It’s easy to find alfajores filled with fruit jams, honey and nuts, or even chocolate mousse in Peru’s bakeries. 

10. Champús

Champús is a hot dessert beverage, blending a corn base with fruit. In Peru, champús is traditionally made with soursop, quince, and apples. 

For centuries, Champús have been sold by champuseras: street vendors, often Afro-Peruvian women, who sell the drink from carts on the streets of Lima. It’s often compared to a hot apple cider, an ideal drink to keep warm in cooler months. 

Food critics describe the flavor of Champús as “delightful.” It’s praised as tart, sweet but not too sweet, and a generally well-balanced, cozy drink.

11. Tejas & Chocotejas

Tejas are fondant-wrapped sweet “dumplings” traditionally filled with manjar blanco, nuts, and fruit. Chocotejas are a variety with a chocolate shell instead of fondant. 

Tejas are most associated with the city of Ica. At the dawn of the 20th century, chocolatier Iqueñas–local women, most with indigenous heritage–adapted traditional Spanish truffles. They made confections in their homes or convents, and, when making truffles, they switched out expensive ingredients like almonds with local peanuts or sacha inchi. As time went on, the confectioner iqueñas added unique touches, alterations and flourishes until tejas became a distinct, recognizably Peruvian treat. 

Today, people travel halfway around the world for the best of Peru’s homespun truffles: Tejas Rosalia and Helena Chocolatier Chocotejas.

Outside Ica, Lima-based dessert chef Astrid Gutsche launched the chocotejas brand Melate. Having already made international headlines for her exquisite chocolate, her new brand draws acclaim for truly sustainable farming practices, committing to justice for Peruvian farmers, and taking tejas fillings to the next level. 

12. Lucuma Ice Cream (+ Ten More Uniquely Peruvian Flavors)

Ice cream is a great way to beat the heat no matter where you are. Yet, location does affect at least one aspect of the beloved frozen treat: flavor.

While chocolate and vanilla are popular everywhere, order an ice cream on any of Peru’s beaches or boardwalks, and you’ll find the menu differs quite a bit! Here are just a sampling of the most popular Peruvian ice cream flavors.

  • Lucuma, a fruit whose flavor profile lends a unique blend of maple, sweet potato, and caramel notes to ice cream. 
  • Huacatay, an herb also called “Peruvian black mint,” which tastes like basil and mint with anise undertones and a citrus tang. 
  • Cherimoya, a fruit sometimes known as “custard apple” for its creamy flesh, has a bold banana-pineapple taste with sweet, strawberry-like notes.
  • Guanábana (soursop), a sweet-n-sour fruit with a velvety texture, offering a citrus tang, crisp tartness, and a sweet, soft aftertaste to ice cream. 
  • Maracuyá, also called passion fruit ice cream, a refreshing, dairy-free dessert with sweet and tart notes. 
  • Tamarind, a date-like tropical fruit pod with a complex flavor profile, offering ice cream a rich apricot-forward taste with tangy undercurrents and notes of caramel or molasses. 
  • Avocado, a creamy, fatty vegetal fruit, granting ice cream a hearty flavor and vibrant green color.
  • Mamey, a Mexican fruit similar to pumpkin or sweet potato, gives ice cream a mild “pumpkin spice” flavor
  • Yellow Chili Pepper (Ají Amarillo), a base pepper in savory Peruvian cuisine, creating ice cream with a gentle heat and sweet “bite”
  • Aguaymanto, also called goldenberry or royal Inca berry, offers its distinct flavor profile–akin to tropical mango with notes of pineapple, tomato and vanilla–to both traditional and dairy-free ice creams.
  • Chicha morada sorbet, a cold, non-dairy treat made with a non-alcoholic variant of purple corn drink, blended with quince, pineapple and spices
  • Queso helado, a dairy-rich ice cream with the texture of cheesecake, typically blended with coconut, vanilla, and spices
  • Yucamochi, a Japanese fusion dessert created by Nikkei chefs, ice-cream-filled sweet mochi balls made from Peruvian yuca (cassava) instead of rice

13. Torta Helada

Torta Helada is a classic Peruvian layer cake. The base layer is a light, fluffy sponge cake, usually flavored with vanilla or warming spices. It alternates with layers of a fruit-filled cream, and layers of gelatin. Traditionally, the fruit and gelatin layers are strawberry. 

“Torta helada” can be literally translated as “frozen cake,” in English, though a more accurate translation might be “cool cake.” The gelatin and cream layers are chilled, creating a refreshing contrast. It’s a big reason why the dessert became a summertime staple in Peru. 

Unlike some of the other desserts on this list, nobody knows the origin of torta helada. It seems to have been invented at some point in the early 19th century, perhaps just after Peru’s independence. Yet, it wasn’t until 1960 the dessert’s popularity truly soared.

Today, dramatic torta helada are often showpieces in bakeries. 

14. Chapana

Chapana is a popular caramel-like sweet made of yucca flour, molasses, and anise. The treat predates both Columbus and the Inca Empire, and its recipe has hardly changed over the centuries.

Historically, chapana was wrapped in panca leaves to cook and serve. Today, banana leaves are more widely used. 

The best chapana is smooth and chewy. Confectioners steam or grill the wrapped dessert until it reaches the perfect texture. 

15. Limones Rellenos (Stuffed Lemons)

Limones rellenos are candied lemon peels (halves), stuffed with a rich, sweet spiced cream. Convent-style Limones rellenos are filled with dulce de leche, while gourmet varieties might be filled with lemon ice cream or yogurt. 

They were first made in convents in the Spanish colonial era. Today, you’ll find versions of the candied lemons stuffed with coconut, mango or citrus fruit pulp, honey, or even whipped meringue in Peru’s confectioneries. 

16. Guargüero

Guargüeros are dessert pastries made of flat fried dough that’s rolled and filled, similar to a canoli. Sweet potato flour is commonly used. The fried dough is delicate and flaky, and the roll is typically dusted with powdered sugar.

Traditionally, guargüeros are filled with dulce de leche. They were first created in Moquegua, and they’re still associated with Holy Week in that city. Fortunately, visitors can find guargüeros throughout the year, in most Peruvian cities. Versions with unconventional fillings abound, particularly those with quince and pineapple jam. 

17. Doña Pepa’s Turrón

Doña Pepa’s Turrón is a colorful pastry built from layers of cookie sticks held together by layers of chancaca. It’s topped with multicolored sprinkles. 

The treat is popularly associated with Lord of Miracles festivities in Peru. According to legend, Doña Josefa Marmanillo was a woman known as a great cook, whose arms became paralyzed due to an illness. Previously enslaved, her partial paralysis allowed her to be emancipated.

She joined the procession of Señor de los Milagros, praying for healing. Then, she was miraculously healed. 

In her joy, Marmanillo honored the saint with a new dish: Doña Pepa’s Turrón. The dessert captivated the saint and his devotees, and the rest is history. 

Enjoy The Tastes of Peru With Caravan 

Peru is a country of extraordinary history, stunning natural landscapes, and flavors you won’t find anywhere else. On tours cultivated by Caravan’s masterful travel directors, you won’t miss a single thing. 

Guests on our weeklong Peru with Machu Picchu never have to lift a finger. Everything from food to lodging to cultural events are ready to go long before you embark. 

To book your spot, call us toll free at 1-800-227-2826. Or, contact our team at +1-312-321-9800 to learn more. 

No matter who you are, there’s a Peruvian adventure that’s right for you. So what places should your group add to the itinerary?

1. Best Family-Friendly Places To Visit In Peru

Families traveling with kids are wise to choose destinations with their children’s stamina, interests and attention spans in mind.

Kids can be more sensitive than adults to altitude changes. So, visiting families might want to experience the beauty of Machu Picchu without taking on the increased risk of altitude sickness seen over 8,000 ft.

To do so, families can journey to Machu Picchu via bus, taking a route from Aguas Calientes. The route’s elevation ranges from 2,040 m (6,692 ft) to 2,430 m (7,972 ft).

Families also enjoy attractions in near-sea-level cities. Lima has Punta Hermosa Beach and Friendship Park, while Guadalupe has Dromedarius Ica, a theme park with camel rides and waterslides.

If altitude isn’t an issue, Cusco is an excellent destination for families with limited stamina who nevertheless want to see ancient Inca sites.

Qorikancha can be experienced from within Cusco’s walls, while Q’enqo, Puca Pucara, and Tambomachay are less than 5 miles away.

2. Best Peru Attractions For Nature-Lovers To Visit

Conservationists, eco-tourists, and nature fans find a lot to love in Peru.

The best nature-centric destinations are the Cochahuasi Animal Sanctuary near Sacsayhuamán, the Q’eswachaka Inca Bridge (a rope offering a stunning, bird’s-eye view of the Apurímac River on the Inca Trail), and Vinicunca, the striped, vibrant-hued “Rainbow Mountain.”

3. Best Places In Peru To Relax & Rejuvenate

There are several excellent places to visit in Peru for a relaxing, refreshing trip. Travelers seeking rejuvenation might seek out some of the hot springs or natural thermal baths of the Andes.

There are two best places among them. Beach Machu Picchu is Banos Termales de Cocalmayo, a set of well-regarded, medicinal thermal pools in Santa Teresa. The best in the Lima Region is Complejo Mamahuarmi, a complex of natural thermal springs and waterfalls in Churín.

Overnight stays are key to relaxation. After thermal baths, spend the night at The JW Marriott El Convento in Cusco. It offers luxurious accommodations, a full-service spa, and a sauna within a revitalized, 16th-century convent.

4. Best Places For Spiritual Seekers To Visit In Peru

For many, Peru is a place rich with spiritual energy and holy sites. Travelers drawn to Catholic spaces often find that one underrated church is the best in Peru: Templo de San Pedro Apóstol in Urubamba.

Sometimes called “the Sistine Chapel of Peru” by historians, it’s known for its extraordinary collection of murals, some of which draw symbols and imagery from the Bible and Incan myth.

For those drawn to faiths outside of Catholicism, one of the spiritual centers is Sacsayhuamán, an ancient Inca citadel. Built in the shape of Kay Pacha, the sacred puma, it’s now where people gather to celebrate Inti Raymi, the Festival of the Sun.

5. Most Romantic Places To Visit In Peru

Peru is a beautiful place for love. If you’re planning a romantic honeymoon or couple’s retreat, these are some of the best Peruvian places to add to your itinerary.

  • The Magic Water Circuit (Circuito Mágico del Agua), is a beautiful public plaza filled with decorative fountains.
    • After dark, the fountains come to life in an artful dance of water, light, and magical melodies.
  • Love Park (El Parque del Amor) in Miraflores is a perfect spot for couples.
    • Enjoy the artful sculptures, scenic gardens, and vendors selling watercolors, bouquets, and sweets for your date.
  • The Luxury Train on Peru Rail, an elegant, scenic way to traverse the Andes, sets the scene for romance with mood lighting and gourmet meals.

6. Best Famous Places In Peru—And Underrated Sites—To Explore Ancient Wonders

Far and away the most famous place in Peru is Machu Picchu. The ancient site is the terminus of the Inca trail, and its iconic structures—the Temple of the Sun, the House of the Priest, and the Sacred Plaza—are recognizable the world over.

Yet, for those who love these ancient structures, there are underrated sites that should be missed. The best among them are the Moray Ruins, Ollantaytambo Archeological Park, and the Inca Complex at Písac National Park (Q’alla Q’asa Ruins).

7. Best Culturally Rich Places To Go In Peru

For travelers drawn to rich cultural experiences, it’s hard to narrow down the numerous, excellent destinations in Peru. Among the best are:

  • Cusco, a vibrant city with extraordinary art spaces—including Centro Qosqo de Arte Nativo, one of the best venues to watch Indigenous Andean Wallatas dance performances
  • Chinchero, an art-filled district where textile collectives offer authentic Inca weaving demonstrations, and workshops and galleries work to preserve traditional Indigenous, Andean arts.
  • Maras, an indigenous Quechua village managing the salt mines near the Moray ruins.
    • The Maras community offers intimate cultural homestays, witnessing ceremonies, and up-close demonstrations of traditional agriculture.

8. Best Places For Retirees To Visit In Peru

Peru is an excellent choice for a trip for those traveling during their retirement. As a retiree, the best places to visit are The Sacred Valley and Lima.

The Sacred Valley is the place to explore wildlife, geology, and ancient structures throughout. Experience the basin on foot, horseback, or from a hot air balloon!

Lima, Peru is a city whose historic center is a protected UNESCO World Heritage Site. The Miraflores district is filled with museums, parks, and fine dining—including the internationally renowned Maido, a restaurant ranked among the 50 best on Earth.

Experience The Peruvian Adventure of a Lifetime With Caravan

Caravan’s 8-Day Tour of Peru With Machu Picchu offers a journey through some of the most extraordinary sites in the nation.

Call our team toll-free at 1-800-227-2826 to book your spot, or +1-312-321-9800 to learn more.

In this guide, discover the elevations of different places in Peru, how altitude changes can affect one’s body, and strategies to navigate elevated places safely.

Understanding Altitude: Overview

Altitude is the height of a geographic point, typically measured in meters or feet above sea level.

A place’s altitude, or elevation, affects its climate, weather, and oxygen level. The higher a place is, the lower its barometric pressure. Lower atmospheric pressure lets the molecules in gases (air) expand, reducing the density of oxygen molecules in each breath.

Low oxygen density cools temperatures and can also cause altitude sickness.

What Are The Altitudes of Popular Destinations In Peru? Elevations At A Glance

Peruvian places at higher elevations require certain precautions from travelers. Consider the altitude of Peru and its most popular locales.

  • Peru Elevation Range: Sea-level – 6,768 m (22,205 ft.)
    • Avg. altitude: 1,555 m (5,102 ft.)
    • Peak altitude: summit of Huascarán
  • Arequipa Elevation Range (Region): 2041 m (6696 ft.) – 6,305 m (20,686 ft)
    • The altitude of the city of Arequipa, the region’s capital, is 2,335 m (7,661 ft).
    • The Arequipa region’s highest point is the peak of the dormant volcano Coropuna.
  • Machu Picchu Elevation Range: 2430 m (7972 ft.) – 3,082 m (10,111)
  • The Sacred Valley Elevation Range:  2,050 m (6,730 ft.) – 3,400 m (9,800 ft.)
    • The average altitude of The Sacred Valley is 2,800 m (9186 ft) above sea level.
  • Urubamba Elevation Range (Region): 2,792 m (9,160 ft) – 5,530 m (18,143 ft.)
    • The altitude of the city of Urubamba is 2,870 m (9,420 ft.) above sea level.
    • The lowest altitude place in Urubamba province is the city of Ollantaytambo.
  • La Rinconada Elevation: 5,100 m (16,700 ft; 3.2 mi)
    • The town of La Rinconada, Peru, is the highest permanent human settlement on Earth.
  • Lima Elevation Range: 154 m – 161 m (500 ft.- 528 ft.) above sea level.
    • Lima, Peru’s elevation does not induce altitude sickness.
    • It’s typically imperceptible.
  • Cusco Elevation Range (Region): 532 m (1745 ft) – 4,801 m (15,751 ft)
    • The altitude of Cusco, the capital city of the Cusco region, is 3,399 m (11,152 ft)

The altitude difference between Cusco and Lima is 3238 m (10,624 ft).

Understanding Altitude Sickness: Definition, Risks & Symptoms

Altitude sickness happens when a person’s body struggles to adapt to the decreased oxygen density and lower air pressure at higher altitudes. The most common type is acute mountain sickness (AMS).

AMS can occur at elevations as low as 5,000 ft., though it’s more common at 8,000 ft. or higher.

Almost everyone experiences AMS at heights of 11,000 ft. or greater.

Signs & Symptoms of Altitude Sickness

AMS typically onsets during the first day of increased elevation. Common symptoms include:

  • Headache
  • Fatigue
  • Dizziness
  • Vertigo
  • Nausea
  • Low appetite
  • Insomnia or disrupted sleep

Note: neurological symptoms (confusion,  seizures, etc.) are NOT signs of AMS. Learn more in the section, “In Case Of Altitude Sickness Emergency (Peru)”

How To Reduce The Risk Of Altitude Sickness In Peru

Preparation

Take the following steps to prepare for the altitude increase before ascent:

  • Stay well-hydrated
  • Practice deep, calm breathing
  • Start taking acetazolamide 24 hours prior

Do not smoke, drink, or eat heavy meals for 3 days prior.

Acclimation

Acclimation is key to preventing AMS or limiting its severity.

Human bodies acclimate to higher altitudes by producing more red blood cells.

This makes it easier to distribute oxygen throughout the body, even though each inhaled breath is less oxygen-rich. It also prevents cell waste (bicarbonate)  from building up in the blood or lungs.

Once you reach 8,000 ft., limit daily ascent to 1,000 ft or fewer. Sleep 8+ hours nightly. Plan full rest days.

How To Treat Altitude Sickness In The Andes Mountains

Mild Altitude Sickness (AMS) Treatment

Acute mountain sickness symptoms are typically treated with steroids like dexamethasone or NSAIDs to reduce inflammation or swelling.

However, only two treatments work for AMS itself:

  • Descending to a lower altitude
  • Resting, to allow your body time to adjust to the new atmosphere

Mild AMS lasts 1-3 days.

Treating Moderate, Serious Altitude Sickness (AMS)

When AMS symptoms are moderate or serious, but not as severe as an emergency, treatment with supplemental oxygen is key.

Moderate, serious AMS symptoms include:

  • Mild shortness of breath
  • Blood oxygen saturation between 89%-94%
  • Disruptive or debilitating AMS symptoms, previously listed

Many hotels at high altitudes in Peru, like the JW Marriott in Cusco, offer oxygen-enriched rooms to help guests adjust more comfortably. Rooms are also equipped with personal supplemental oxygen tanks.

Supplemental oxygen and rest are recommended when blood oxygen saturation is 89%-94%.

Blood O₂ saturation below 89%, particularly with other HAPE symptoms, is an emergency.

In Case Of Altitude Sickness Emergency (Peru)

Two altitude sickness conditions are severe enough to be fatal: High-Altitude Pulmonary Edema (HAPE) and HACE (High-Altitude Cerebral Edema).

These edema conditions mean the lungs or the brain have become too oxygen-deprived, and they’ve started swelling dangerously. Signs of HACE include:

  • Confusion
  • Disorientation
  • Drowsiness
  • Seizures
  • Impaired coordination
  • Vision loss
  • Odd flashes of light (photopsias)
  • Lingering “floaters” in vision

Biometric indicators of HAPE include:

  • Resting heart rate ≥ 95 beats pm
  • Respiratory rate ≥ 21 breaths pm
  • Initial ventilation increase of ≤ 10% in response to altitude
    • Blunted hypoxic ventilatory response (HVR)

Seek immediate medical treatment. Connect the sick person to supplemental oxygen. They may need immersion in a portable, pressurized hyperbaric chamber (a Gamow bag).

Be sure to secure access to emergency medical services before traveling to Peru.

Explore Peru Safely With Caravan

Caravan’s 8-Day Tour of Peru With Machu Picchu offers guests an extraordinary journey across Peruvian highlands.

Call our team toll-free at 1-800-227-2826 to book your spot, or +1-312-321-9800 to learn more.