The Honest Downsides in La Paz

Good to Know

• Tap water is unsafe; drink sealed bottled water only. Severe traveler's diarrhea from contaminated water is common.
• Altitude hits immediately upon arrival at El Alto airport (4,061 m). Plan to rest and acclimatize your first 2–3 days; avoid alcohol and intense exercise.
• Petty theft is endemic in crowded markets, public transport, and bus terminals. Use money belts, cross-body bags, and keep one hand on valuables.
• Fake police are a real problem—ask any official to show a warrant and insist on going to a police station. Decline random 'police checks' on the street.
• After dark, stick to main tourist areas and registered taxis or hotel-arranged transport. Unlit side streets and unregistered taxis pose mugging and robbery risk.
• Political protests and roadblocks can erupt with little warning and disrupt transport, flights, and services. Build extra buffer time into airport trips and intercity travel.
• Air quality is moderate to poor, especially for people with respiratory conditions. Winter months (May–August) may be worse due to biomass and waste burning.
• Healthcare outside the public system is limited in quality and expensive. Comprehensive travel insurance with medical evacuation is essential.
• The city's extreme topography means lots of steep walking and poor street lighting in many neighborhoods. Wear sturdy shoes and carry a light.