Tilicho Lake with Round Annapurna Trek - 16 Days

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  • Duration: 16 Days
  • Trip Grade: Strenuous Strenuous
  • Country: Nepal
  • Region: Annapurna
  • Max. Altitude: 5416m/17769ft
  • Best Season: Spring/Autumn
  • Group Size: 2-8 People
  • Trip Start/Ends: Kathmandu
  • Trek Style: Tea House Trek
  • Transportation: Domestic Air/ Land transportation

Tilicho Lake - one of the highest lake in the world, holds the reputation of one of the most thrilling and diverse trekking destination in the Himalayas. Situated at an altitude of 4919 meters above from sea level, the lake lies virtually in between Gangapurna and Tilicho peak. This Tilicho Lake with Round Annapurna Trek is a combination of 3 additional days on traditional Annapurna Circuit Trek, taking you into the place, where the Himalayan giants are almost at a touch. The trial comprises of varied landscape from subtropical to alpine forests, and the elevation rises to 5416 meters at Thorong La pass. 

Tilicho Lake is equally important on a religious point of view. Hindus believe that Tilicho Lake is the ancient Kak Bhusundi Lake mentioned in the epic Ramayana. The Sage Kak Bhusundi is believed to have first told the happenings of Ramayana to Garuda - king of birds, near this lake. The sage took the form of a crow while telling the story to Garuda. Crow translates to Kak in Sanskrit, hence the name Kak Bhusndi for the sage.

This trek starts by an eight hours drive along Marshyangdi river valley to Syanje, starting point of Annapurna Circuit Trek. Follow the main circuit path until Manang and detour to Tilicho Lake joining back again in Yak Kharka. The trek ends in Jomsom flying back to Lake city of Pokhara. This trek is a combination of majestic mountain panorama, cultural and geographical diversity of Annapurna Region.

Outline Itinerary

Day 1: Arrival in Kathmandu (1350m/4429 ft)

Day 2: Drive from Kathmandu to Syange (1100m/3608 ft) 8 hours

Day 3: Trek from Syange to Dharapani (1,960m/6,430ft) 7 hours

Day 4: Trek from Dharapani to Chame (2,710m/8,891ft) 5 – 6 hours

Day 5: Trek from Chame to Pisang (3,300m/10824ft) 5 – 6 hours

Day 6: Trek from Pisang to Manang (3,500m/11,482ft) 6 – 7 hours

Day 7: Acclimatization day

Day 8: Trek from Manang to Khangsar (3745m/12286ft) 5 hours

Day 9: Trek from Khangsar to Tilicho Base Camp (4150m/13615ft) 6-7 hrs

Day 10: Visit Tilicho Lake (4,920m/16,140 ft) and back to base camp 7-8 hours

Day 11: Trek from Base Camp to Yak Kharka (4,110m/13,484ft) 5 hours

Day 12: Trek from Yak Kharka to Thorang Phedi (4420m/14501ft) 3-4 hours

Day 13: Trek to Muktinath (3,800/12,467ft) via Thorong La Pass (5416m/17764ft, 7 Hrs) then drive to Jomsom (1 hour drive)

Day 14: Fly from Jomsom to Pokhara (25 minutes)

Day 15: Drive from Pokhara to Kathmandu (200kms/ 5-6 hours)

Day 16: Final departure

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You will be welcomed by a Great Nepal Representative at the airport. From there, you will be transferred to the hotel. Freshen up and meet the representatives once again to get the brief about the trekking itinerary. In your free time, you can stroll around the capital city of Kathmandu. Overnight in a hotel in Kathmandu.
After your breakfast,drive to to Syange (1100m/3608 ft). Pass through the scenic villages and the rivers along the Prithvi Highway to get to Syange. Enjoy the green hills, rivers, and every other thing you see during the drive. Also, get several opportunities to look at the high peaks of Dhaulagiri, Manaslu, and Machhapuchhre. Among such peaks, you will also have the chance to encounter the cultural diversity of the region. Overnight in a tea house in Syange.
Once you finish your yummy breakfast, you will be on the trail to make it to Dharapani. You will be crossing a bridge near Tal. Enjoy the views of waterfalls and the barley fields on the trail. Also, pass one of the biggest villages in the Manang valley, the Kodo village before you reach Dharapani, your today's destination. Overnight in a tea house in Dharapani.
Don’t forget your camera as the high peaks of Lamjung, Annapurna II, and Annapurna IV will be far-off watching you in the eyes. As for today's highlight, it is the hot springs at Tatopani. So, relax and enjoy your time at Tatopani. Some while later, make way for the Chame Village. Overnight in a tea house in Chame.
Today, you will be walking through the steep trails and narrow valleys to get the views of the Paungda Danda Rock Face and its stunning surroundings. An eye-pleasing view of the Annapurna II to the south and Pisang Peak to the northeast will take your breath away. Overnight in a tea house in Pisang.
In the 6th day, you will have to walk through the Upper Pisang via Geru. This trail will provide amazing views of the Annapurna, Pisang, and other peaks. The climate will be gradually getting cold and dry till you reach Manang. You will be visiting Barge Monastery, one of the biggest monasteries in the Manang District. Overnight in a tea house in Manang.
It a day to get some rest. Familiarize with the altitude where you are and be prepared for the next day's long trek. So, today you will be just doing a short hike. You will get plenty of time to explore the Manang Valley. Overnight in a tea house in Manang
After breakfast start your trekking descending from Manang cross a suspension bridge over Jharsing Khola. You will be amazed with the view of Annapurna and Gangapurna through out the way. Pass by Tore Monastery and Khangsar river to reach small settlement of Khagsar where you will find small Monastery, Mani walls, prayer flags and breathtaking view of the great barrier. Overnight in a tea house in Khangsar.
From Khangsar, trek via steep trial passing many Chortens and Prayer flags through juniper and sea buck thorn bushes. Crossing many streams throughout the way you reach a crest situated at 4650 meters with prayer flags. Follow the series of zigzag trials to reach Tilicho Base Camp. Overnight stay at Tilicho Base Camp.
Early morning climb through moraines to reach Tilicho Lake situated at an altitude of 4920 meters. Once you reach the lake, be greeted with an mesmarizing beauty of Tarkeghyang, Gangapurna and Khangsar Kang. Tilicho Lake is one of the highest fresh water lake in the world. Sometimes its turquoise water reflects the surrounding peaks but more often its frozen solid. After enjoying the beauty of the surround we retrace our trial back to Base Camp. Overnight stay at Tilicho Base Camp.
Today you will be walking through streams and small rivers. Look at the small flat mud roofed houses in the small village of Ghunsang. Also, pass through an ancient Mani wall and the green pastures along the trail to Yak Kharka. Overnight in a tea house in Yak Kharka.
In this day of the trek, you will be crossing over several suspension bridges to reach the Thorung Phedi. The Phedi is lying at the laps of the Thorung La Pass. Get the best views of Mt. Gundang, Mt. Syagang, Thorung Peak, and Mt. Khatungkan along the trail. Overnight in a tea house in Thorung Phedi.
Today is the day you will be crossing one of the highest passes of the region, the Thorong La pass. Head towards Muktinath, one of the most sacred temples for both Buddhists and Hindus, after crossing the pass. Then you will be driving to Jomsom to end the day. Overnight in a tea house in Jomsom.
We have an early flight today to Pokhara. Enjoy your flight as it is arguably one of the best mountain flights in Nepal. Once you reach Pokhara, you can get plenty of time to rest or walk around the Phewa Lake. Also, you can shop for memoirs if you want. Overnight in a hotel in Pokhara.
Today, you will return to the Kathmandu Valley by a tourist bus. Upon arrival in Kathmandu, you will be guided back to your hotel. Freshen up and stroll around the Kathmandu Valley for souvenirs. Later, in the evening, enjoy a farewell dinner at a Nepalese Restaurant. Overnight in a hotel in Kathmandu.
Your Trip to Nepal ends. A Great Nepal representative will guide you to the airport some 3 hours before the flight. Have a safe journey ahead.


  • All transportation using private vehicle as per itinerary including airport transfers.
  • Kathmandu-Syange drive using private Jeep, Muktinath-Jomsom by local Jeep, Pokhara-Kathmandu drive on Tourist bus (Sharing basis).
  • Jomsom - Pokhara Airfare with necessary Airport taxes for guide and guest.
  • Two Nights accommodation in Kathmandu and One night accommodation in Pokhara on Twin sharing basis (BB) using Three star Hotel.
  • Accommodation in the best available Lodges, Guesthouses during the trekking days using Twin Sharing failing Dormitory room.
  • Three meals a day followed by tea/coffie while on trekking days. (Breakfast, Lunch and Dinner)
  • Complementary Farewell dinner in Kathmandu with Cultural show and Nepalese cuisine.
  • Government licensed English speaking Guide throughout the trek with his food, accommodation, salary, insurance, equipment, medicine, and transportation.
  • The required number of staff and Porters to carry your luggage during the trek. (02Trekkers:01Porter)
  • Food, accommodation, salary, insurance, equipment, medicine and transportation for all trekking/tour staff.
  • Annapurna conservation’s park fees and TIMS (Trekker Information Management System) and other necessary permits.
  • First aid medical kit.
  • Necessary Service charge and Government Taxes.


  • Lunch and dinner whilst in Kathmandu and Pokhara (Each item costs about $4 - $7 dollars depending on place where you eat)
  • Snacks, soft drinks, alcoholic drinks, water and personal items, Wifi access fees in lodges, fees for hot showers, towels, laundry or other services and Personal trekking gear while trekking.
  • Your travel insurance (compulsory), this must include helicopter rescue (Medical Tests and Hospitalization expenses. These should be covered by your travel insurance provider)
  • International airfare and airport departure tax.
  • Nepal entry visa cost. One can obtain a visa easily upon your arrival at Tribhuwan International Airport in Kathmandu. A multiple-entry tourist visa good for 30 days can be obtained by paying US$ 40 or equivalent in foreign currency. Similarly, multiple-entry tourist visas for 90 days can be obtained by paying US$ 100. Please bring 2 passport-size photos.
  • Any extra expenses arising out of various/unforeseen situations like( natural calamities, landslides, political disturbances)
  • Tips for trekking staff and driver (Which is not mandatory but highly appreciated)
  • Any other items not mentioned on above Include Section.

To enable all expedition members to acclimatize well and hence maximize their chances of success, our expedition programs are prepared with sufficient time for acclimatization. Adaptation to the altitude takes time and there can be no short-cuts, even if supplementary oxygen is used in the final stages. The atmospheric pressure at the base camp is half of that at the sea level. A thorough program of acclimatization is built into the itinerary which consists of regulated height ascents, followed by descents and rests before the final ascent to the summit. This will prevent the climbers to get rid from altitude sickness.


Although our guides carry first aid medical kit, it is better to carry a supply of first aid items for your own personal use according to your health conditions. Here are the list of some general as well as some special medications you may require:

  • Antiseptic cream (Betadine)
  • Sunblock SPF 30+
  • Throat lozenges
  • Painkillers and anti-inflammatory such as Aspirin, Paracetamol, Ibuprofen etc.
  • Band-aids, bandage, compression bandage and 'Second Skin' for blisters
  • Re-hydration salts. (Trioral, Electrobin, Oral Rehydrating Salt)
  • Dextrose glucose tablets
  • Water treatment tablets
  • Your prescription medications
  • Antibiotics for longer climbing and expedition style trips


You will be affected by high altitude problems if it is your fist trip at a high altitude. The altitude has some important beneficial effects on the human body and your trips have been designed to enable these. Please familiarize yourself with the information on AMS (Acute Mountain Sickness) and understand how to avoid it and read on benefits of high altitude and take advantage of these to improve your body' metabolism.


Altitude sickness is the reaction of the body adjusting to decreasing amounts of oxygen. The high altitude slowly decreases the flow of oxygen means the higher you climb, the flow of oxygen is very thin resulting the malfunction of body. Altitude sickness most commonly occurs from above 2,800 meters (9,200ft) but this is different for everyone - there is simply no way of knowing your own susceptibility prior to being at altitude thus it is vital for you to monitor your own health. AMS occurs when the body is unable to adopt at the higher altitude having less amount of oxygen. At an altitude of 5490m (18000 ft.), the oxygen availability becomes just the half of the availability at sea level. While only a third of oxygen is available at the summit of Mt. Everest. Symptoms may be mild and subside/go away after a day's rest, or if it is ignored it could lead to death.


Symptoms can appear within 1-2 hours although most often appear 6-10 hours after ascent and generally subside in 1-2 days as the body adjusts to altitude. They may reappear as you continue to go higher. Symptoms of AMS usually occur gradually and can be one or a combination of the following:

Headache: Due to the less amount of oxygen in air, the blood influences the blood vessels to spread wide in order to supply more oxygen to the brain and which cause them to show the early symptom of AMS.

Dopiness: The trekkers or climbers feel very sleepy but could not. 

Shortness of breath: The breathing pattern changes as the breathing becomes faster and deeper than normal in order to get enough oxygen and rapid pulse

Loss of appetite and nausea: Despite of physical exercise, the trekkers don’t have an appetite to eat. They will feel as if they want to vomit.

Pins and Needles: Sensation of a limbs falling asleep.

Fatigue: Physical pressure while trekking the long hours followed by Insomnia shows the next symptom of AIMS which is fatigue.

Dizziness: A feeling of falling down, it is the early symptoms of AMS.

Malaise: Malaise is the feeling of being sick which is also one of the symptoms of AMS.

Swelling of hands, feet & face: Due to the accumulation of fluids, the tissues swell which is also one of the symptoms of AMS.

Symptoms associated with more severe Acute Mountain Sickness includes:

• Cyanosis (alteration of skin color into bluish or purplish)

• Chest tightness or congestion

• Confusion

• Coughing up blood

• Decreased consciousness or withdrawal from social interaction

• Grey or pale complexion

• Inability to walk in a straight line, or to walk at all

• Shortness of breath at rest

At high altitude, all people will experience some of the above symptoms in a mild form. If the body is unable to adjust to altitude these symptoms will persist and if they are left untreated, altitude sickness may progress to High Altitude Cerebral Edema (HACE) or High Altitude Pulmonary Edema (HAPE). Edema means simply fluid accumulation in your interstitial body tissues. Both HACE and HAPE can be fatal if ignored.


High Altitude Pulmonary Edema (HAPE)

If one accumulates of fluid in the lungs and mild fever then, there is a chance of High Altitude Pulmonary Edema (HAPE). The filling of fluid in the lungs is Pulmonary Edema. The fluid blocks the passage of fresh oxygen to get into the lungs which causes the shortage of oxygen. Though the exact reason for the HAPE has not been identified, scientists think that pressure of blood vessel around the lungs is directly proportional to the altitude. As a result the smaller blood vessels leak allowing the fluid to escape to the lungs. The treatment for the HAPE victims is to give the oxygen at the rate of 4 liters a minute, using Portable Altitude Chamber (PAC). In case of unavailability of PAC bag or oxygen, one is taken down to the low altitude which is the only way of life-saving. HAPE can also lead to unconsciousness which may also results to death in a short period of time.

 WHAT ARE THE SYMPTOMS OF HAPE (fluid in the lungs)?

• Breathlessness

• A dry cough, developing to a wet one with blood-tinged discharge or saliva

• Tightness in the chest & blueness/darkness of face, lips & tongue

• Low fever up to 38°C/100°F

• Severe fatigue, progressing to coma

High Altitude Cerebral Edema (HACE)

HACE is the accumulation of fluid in the brain due of the swollen blood vessels to the brain. HACE is also seen within a couple of hours and can send the patient to coma and take his/her life in just few hours likewise to HAPE. The excessive flow of blood to the brain due to the low-level oxygen causes vasodilation which eventually leads to leakage of blood vessels to the brain. A 4 to 8mg of dexamethasone is given as a first dose to those who suffer from such sickness and then 4mg Diamox is given an every six hours gap. Similarly, 2-4 liters/minute oxygen is given and one is taken to down if it is necessary.

WHAT ARE THE SYMPTOMS OF HACE (fluid in the brain)? 

• Severe headache symptoms not relieved by painkillers or lying down

• Confusion, disorientation & drowsiness

• Nausea/vomiting

• Loss of balance or coordination

• Blurred or double vision/retinal hemorrhage


Certain medical conditions (such as respiratory disease) or medications (such as sleeping pills) can increase the risk of altitude sickness - it is important that you inform your guide of any medical conditions or medications before ascending to altitude. You can help your body to acclimatize and avoid altitude sickness by:

• Avoiding alcohol, tobacco and substances that can interfere with good delivery of oxygen to the body or cause dehydration

• Eating small, frequent meals high in carbohydrates

• Drinking plenty of water – the test of sufficient amount of water intake is ability to urinate colorless urine

• Taking it easy or have a rest. Walk at a slower pace than you would at sea level and avoid over-exertion

• Climb the mountain gradually and stop for a day or two of rest for every 600m/2000ft above 2,400m/8000ft

• Climb high but Sleep at a lower altitude if possible

• Learn how to recognize early symptoms of mountain sickness


Most travelers are able to successfully acclimatize by following the previously mentioned guidelines. However, there are instances where medical treatment is required. Ultimately, the best treatment for acute mountain sickness (AMS) is to descend to a lower altitude and rest. Early diagnosis is important. Acute mountain sickness is easier to treat in the early stages. The guide will monitor you all the time for symptoms and will pace you appropriately to minimize your exposure to AMS.

Cooperating with the guide and reporting if any of the above-described symptoms are seen allows your guide to undertaking appropriate and timely action to minimize your exposure to AMS.  Sufficient time for acclimatization (After 3000 meters) is also another method to minimize AMS. Following precautions can be done in order to get rid of AMS:

• Don’t ascent up rapidly.

• Never use alcohol, sleeping pills and smoking.

• Drink more fluid 3-4 liters a day, clean boiled water / tea / coffee / soup / juice etc.

• Climb high and sleep low.

• Don’t go trekking alone, take guide/porter.

• Follow the advice from your guide, hotel, local people, guidebook.

• Descent if mild symptoms rapidly getting worse.

• Never leave or descent sick person along.

• Avoid getting cold.

• Take an easy and comfortable trekking route even if it is longer.

• Sleep more than normal.

Your Guide will carry some medications in First Aid Kit and may suggest for medication such as Ibuprofen, Paracetamol, combination of them or specific AMS medication. Standard and effective medication for prevention of AMS is Acetazolamide (Diamox) and it may be given to help improve breathing and reduce mild symptoms. This drug can cause increased urination. Ensure you drink plenty of fluids and avoid alcohol when taking this drug.

With severe cases of AMS, our guide will contact our office in Kathmandu and arrange your evacuation by helicopter. Before we accept you on the trek we will require that you purchase health and travel insurance including helicopter rescue and hospitalization.


You never know when the unexpected situation comes and put you in hearse condition.  So such cases you will be rescued by Helicopter. You are entirely liable for all the expenses incurred in evacuation. So, before coming to Nepal, please make your travel insurance. Ask your guide to arrange a runner to the nearest communication point and inform office about requirement of a helicopter. For evacuation, we require the name of the sick person and the exact location from where helicopter can airlift you. You should not leave the place after calling Helicopter for evacuation though you are feeling better than before.


On the trek, there is a facility of purchasing safe drinking water in teahouses.It is better if you carry the water purifying pills on your own. On camping trek, the water will be treated with Potassium permanganate or Iodine. On the trail, water from the streams is safe to drink, but better not to use it directly for drinking.


Security and a safe journey is our core objective of trekking. Our guide holds licenses issued by the Nepal Government and our staffs are local, honest, kind and genuine. But we also insist you to take care of your own personal belongings. If you are on ‘camping trek’ please take your main bag inside the tent once you reach campsite and put all bags and belongings in the middle of the tent when you feel sleepy. Your guide assigns a Sherpa on turn wise basis to guard the campsite throughout the night. If you are on ‘Tea house arrangement, never leave your baggage unattended and keep your lodge room locked when you go out.


Our company is not only governmentally recognize but also affiliated with several other national and international agencies related to tourism. Our Managing Director Mr. Surya Bahadur Ghimire has already performed Media and press coordinator role being the Executive Member for two years (2015-2017) in TAAN (TREKKING AGENCIES ASSOCIATION OF NEPAL), which is only an umbrella organization of all trekking agencies’ in Nepal. 

Why is Tipping essential?

There are several reasons why you should tip in Nepal. It is quite the same as for what you tip in restaurants. They live in remote areas that are far from proper health and education facilities. Tipping them will additionally encourage them to manage good and nutritive food to eat, warm and comfortable clothes to wear or other necessary basic requirements to maintain their livelihood in a comfortable way. A small gesture of gratitude will do no harm to you but actually changes the lives of many people for a long time in many reasons. Our company has its fund collected from the same percentage of profit and sometimes from the tips of our guests which will directly be invested for uplifting the economic condition of guides, porters and other staffs of office. It’s nothing more than the way to add smiles on those laborious faces.

Trip highlights

  • Visit to Tilicho Lake (4920meters/16,140feet) - one of the world's highest altitude lake.
  • Be amazed with majestic mountain panorama, cultural and geographical diversity of Annapurna Region.
  • Cross Throng La Pass at 5416m altitude.
  • Muktinath, famous pilgrimage spot for both Hindus and Buddhists.

Why with us?

  • Your Safety Come first.
  • Great Value of Money
  • Responsible Tourism
  • Social Responsibility
  • Tailor-Made Program
  • Financial protection

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