The doors of the Char Dham temples have opened for pilgrims, marking the beginning of India’s most spiritual journey. The 2026 Char Dham Yatra has officially started in Uttarakhand, with Gangotri and Yamunotri opening on Akshaya Tritiya after a six-month winter break. Vedic hymns, breathtaking views, and an immersive religious experience invite thousands of pilgrims every year. However, despite being sacred and special, this trip is a strenuous one as well. Char Dham Yatra 2026, too, may attract lakhs of pilgrims, but the strenuous trek may not be best suited for everyone. On this special occasion, experts interacted with Health and Me to share some precautions that pilgrims must take.Who should avoid going for Char Dham Yatra?Dr Basavaraj S Kumbar, Consultant – Internal Medicine, Aster Whitefield Hospital, said, “Char Dham Yatra is a spiritually uplifting experience. From a medical standpoint, it is also physically challenging due to changes in altitude, long hours of travel, and adverse weather conditions. That is why some people may not be physically ready to perform the journey without training.”Dr Manjusha Agarwal, Consultant – Internal Medicine, Gleneagles Hospital Mumbai, spoke about the group of people who must avoid going for the yatra. “Many people tend to go on the Char Dham Yatra covering Yamunotri, Gangotri, Kedarnath, and Badrinath. It is a spiritually significant pilgrimage, but it also demands good physical fitness due to high altitude, steep climbs, and unpredictable weather. Hence, understand that the yatra is suitable for individuals with stable health, especially those without heart disease, severe asthma, advanced kidney disease, arthritis, stroke, or uncontrolled blood pressure. Even older people or those with chronic illnesses like cancer, osteoarthritis, emphysema, or chronic obstructive pulmonary disease (COPD) should avoid the yatra. Pregnant women in later stages are also generally advised to avoid the yatra.”Generally, the yatra is well within reach of persons who are in good health and have quite a good fitness level, that is, if they carry out proper preparation. On the contrary, persons suffering from uncontrolled long-term illnesses such as heart diseases, severe asthma, chronic obstructive pulmonary diseases, or uncontrolled diabetes or those who have recently had surgeries may have to reconsider or, for the time being if not permanently, altogether refrain from the trip unless, of course, a doctor has given them the green light. Ageing people can travel, but only after being medically checked and with medical assistance. What are the risks of being at higher altitudes?Altitudes are the greatest danger during the yatra, as they are the primary cause of breathlessness, weariness, or even altitude sickness. In fact, this makes pre-travel preparation very important. The best scenario would be that individuals should start their preparation at least 4 to 6 weeks before their departure by engaging in walks, light aerobics, and breathing exercises that will help them improve their stamina and the capacity of their lungs. Increasing daily steps and practising walking on slopes will bring about the most considerable effect.Precautions to takeDr Kumbar said that water intake and diet are important too when going for a strenuous trip like the Char Dham Yatra.. It is always easy to overlook the significance of staying hydrated throughout your trip. Taking necessary medications, having a first aid kit with you, and getting yourself a health assessment from a doctor before your trip is highly advisable.It is an easy concept to remember. Not only is it a pilgrimage, but it is also an extremely strenuous physical activity. With proper preparation, this pilgrimage can easily be undertaken. However, without any preparation, the journey becomes unnecessarily challenging, particularly in the higher regions. Preparing for Char Dham YatraDr Agarwal shared some simple pro tips for people going for Char Dham Yatra. The expert listed the following tips for pilgrims:Those who are going should prepare 4–6 weeks in advanceRegular walking, light cardio, breathing exercises, and stair climbing help build stamina and core strengthStaying hydrated, avoiding smoking and alcohol, and gradually increasing endurance are key to having a good yatraAcclimatisation days should be included during travel to adjust to altitude and avoid any problems like breathlessnessCarrying essential medications and prescriptions and pacing oneself during the trek can ensure a safer and more comfortable pilgrimage experienceMake sure to do yoga and pranayama, keep painkillers, anti-nausea medication, antacids, anti-diarrheal, and cough/cold medicine handy.Stay hydrated by drinking enough water, don’t overexert, and take frequent breaksIf you start to experience altitude sickness symptoms like headache, dizziness, nausea, or breathing difficulties, and emergency numbers without fail for timely medical help.What is Char Dham Yatra?The Char Dham Yatra is a pilgrimage across four sacred shrines: Kedarnath, Badrinath, Yamunotri, and Gangotri. Each of the temples is surrounded by mountain roads, rivers, and snow-clad peaks. The temples will be open for a short window before closing again ahead of winter. During this narrow window, travellers must plan their trip wisely and in advance. The Char Dham journey begins from Rishikesh, Haridwar, and Dehradun.