Rainbow Mountain — Vinicunca in Quechua — sits at 5,200m (17,060ft) in the Peruvian Andes, three hours south of Cusco. The stripes of red, yellow, green and turquoise are from different mineral oxides in the sandstone, exposed by relatively recent glacier retreat. It’s now one of the most visited high-altitude day trips in Peru.

At 5,200m the air carries roughly half the oxygen available at sea level. Headache, nausea, dizziness and shortness of breath are common. The non-negotiable fix is acclimatisation: at least two full days in Cusco (3,400m) before you attempt Rainbow Mountain. Hydrate harder than you think necessary, skip alcohol the day before, consider coca tea or Diamox if you’re prone.

Standard tours leave Cusco at 3am, drive three hours to the trailhead at Pampa Chiri or Qesiuno, then hike 1.5 to 3 hours to the summit depending on pace. The ascent gains around 400m. Locals offer horse rides for most of the trail. Weather turns fast at that altitude — expect sun, cloud, hail and snow in a single morning.

The payoff is the summit ridge and the view across the striated hillside into the Vilcanota range beyond.

For a guided day with reliable transport and a knowledgeable guide, book through Peruways. The right operator makes a 5,200m hike considerably safer.