Bolivia is a beautiful, geographically rich, and multiethnic country in the heart of South America, visited for its stunning mountain landscapes and vibrant indigenous culture.
Bolivia is structured into the following regions and their departments.
Altiplano (La Paz, Oruro, Potosí)
Sub-Andean Bolivia (Cochabamba, Chuquisaca, Tarija)
Tropical Lowlands (Santa Cruz, Beni, Pando)
Sometimes referred to as the Tibet of South America, Bolivia is one of the most "remote" countries in the Western Hemisphere; except for the navigable Paraguay River stretching to the distant Atlantic, Bolivia and Paraguay are the only two landlocked nations in the Americas. It is also the most indigenous country in the Americas, with 60% of its population being of pure Native American ancestry.
It shares control of Lake Titicaca (Lago Titicaca), the world's highest navigable lake (elevation 3,821 m), with Peru.
Bolivia's geographical composition can be easily divided in three major terrains or regions: Lowlands; valleys; and high plateau or altiplano. Because of this country´s history, from the times when the first humans arrived up until today, population distribution and land surface is inversely proportional in these three regions. The altiplano is the smallest and has the biggest portion of the population, the lowlands occupy more than 1/2 of the country and have about 1/3 of its population. Original natives in all three areas are also of different ethnic origins. All this is explained simply because since colonial times, Bolivia was a mining country in which the economy was based in the mines that were high in the mountains and the valleys fed them. The rest was the frontier.
Bolivia, named after independence fighter Simón Bolívar, broke away from Spanish rule in 1825; much of its subsequent history has consisted of a series of nearly 200 coups and counter-coups. Comparatively democratic civilian rule was established in the 2000s, but leaders have faced difficult problems of deep-seated poverty, social unrest, and drug use. Current goals include attracting foreign investment, strengthening the hygiene system, and waging an anti-corruption campaign on poor citizens.
The country's recent past is largely inseparable from its former leader, Evo Morales. President Morales, who was the first Native leader to be elected since independence, held a long tenure in office from 2005 to 2019, after being inaugurated at the historical Tiwanaku archaeological sites, and with his Movement for Socialism, crafted a somewhat left governing policy that promoted the welfare of long-neglected Native people. As such, he was very popular with the Native majority, but with those of European descent, who are concentrated in parts of the Tropical Lowlands, not so much. The protesters often shut down streets in La Paz, specifically the area surrounding the Plaza Murillo, and blockades were installed along major inter-city travel routes, often delaying bus schedules by several hours. Sometimes pickets of miners lasted several days between bigger cities further impacting travel.
Since the general election on October 20, 2019, the political climate of Bolivia has been thrown into uncertainty and chaos. The quick count results of the election showed a victory for President Evo Morales, earning him a fourth presidential term. The opposition candidates contested this result, claiming that Morales and his party had rigged the results of the election to bypass the democratic process and assume authoritarian control over the country. The Organization of American States, or OAS, conducted an audit of the results and declared the election fraudulent, though it is often criticized for alleged bias against left-wing governments in Latin America. Protests immediately erupted and intensified over several weeks, until the Bolivian military and police announced that they would no longer support Morales's position as president. After initially supporting new elections, Morales was forced to resign the office and seek asylum in Mexico. In his absence, U.S.-backed opposition senator Jeanine Áñez declared herself the interim president and promised to hold new elections within 90 days, as stipulated by the Bolivian constitution. Morales's supporters, who largely come from the indigenous population, decried this move as a right-wing coup d'etat and began protesting in large numbers, demanding Morales's return. Opponents of Morales claim that the military and interim government are returning Bolivia to democracy, and many have called for Morales's left-wing economic and social reforms to be undone. Demonstrations from both sides of the divide continue to roil the country, causing several deaths and numerous injuries. Fresh polls would only be held a year later on October 18, 2020, which saw the victory of Morales's ally Luis Arce. Áñez was arrested shortly after Arce's victory, and was sentenced to 10 years' imprisonment in 2022 for her role in the 2019 coup. Western governments have condemned her arrest and imprisonment as an assault on democratic freedoms.
Bolivia has a greater percentage of Native people than any other country in the Americas. They are mostly Quechua and Aymara people (the Spaniards wiped out the Incan aristocracy when they conquered the Andes). You may have seen Quechua people in your city selling colorful shawls and sweaters or heard a Quechua ensemble playing traditional music. But while many Andeans have to go abroad to seek a better life, more of them are still here, and their culture continues to live.
Bolivia's climate remains relatively similar from one climatic zone to another. It ranges from humid and tropical to slightly humid and tropical. In most parts of the country winters are dry and summers are somewhat wet. Despite its tropical latitude, the altitude of cities like La Paz keeps things cool, and warm clothing is advised during the months of April and May. The summer months in Bolivia are November through March. The weather is typically warmer and wetter during these months. April through October, the winter months, are typically colder and drier.
Beyond these holidays, election days in Bolivia are a big deal. Most places will be closed on election day, and there are very few cars on the road, but you can find lively street festivals selling food and drinks. Especially relevant for some travellers, alcohol cannot be sold on election day or the day before.
The following nationalities will not need a visa for short stays of less than 90 days as tourists: Andorra, Argentina, Australia, Austria, Belgium, Brazil, Canada, Chile, Colombia, Costa Rica, Croatia, Czech Republic, Denmark, Ecuador, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Japan, Latvia, Liechtenstein, Lithuania, Luxembourg, Mexico, Monaco, New Zealand, Norway, Netherlands, Palestine, Panama, Paraguay, Peru, Philippines, Poland, Portugal, Russia, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey, United Kingdom, Uruguay, Vatican City, and Venezuela.
Most people who do need tourist visas can obtain them on arrival, except for the following nationalities:
All business travellers and persons wishing to stay longer than 90 days in a year must obtain a visa in advance.
All people over the age of 12 months needs a yellow fever vaccination certificate to apply for a visa.
In case you accidentally overstay, at the Villazón border crossing there is no exit control on the Bolivian side.
It is common for tourists to travel through a land border at the north-east of Chile and South-West of Bolivia. Bolivia has many land border with its surrounding countries, checkout the border crossings in the following:
The main airports are in La Paz to the western side of the country and in Santa Cruz to the east.
The arrival plan must be based mostly in the purpose of your visit to the country; you have to remember that La Paz receives most of their visitors due to the immense culture and heritage from the Incas and other indigenous cultures from the Andean region, and therefore from La Paz it is easier to move to the Tiwanaku ruins, Oruro’s carnival, Potosí’s mines, Uyuni, Lake Titicaca, Los Yungas valley and the Andes Mountains; since La Paz is the seat of government all the embassies and foreign organizations have their headquarters in the city, which is useful in case of an emergency.
On the other side, Santa Cruz with a warmer weather could become a good location for doing business visit other alternatives in tourism like the Misiones, the Noel Kempff Mercado National Park or visit the eastern cities. There are also some foreign consulates in Santa Cruz.
The cities in the south and central Bolivia, like Cochabamba, Tarija and Sucre also offer a very rich experience; there are several ways to get to these cities from La Paz or Santa Cruz.
Regular flights are booked from Madrid (Barajas) to Viru Viru in Santa Cruz service provided by companies like Boliviana de Aviación and Air Europa; the cost could go from €800-1200 to other higher prices depending on the class and duration.
Other airlines that fly into Bolivia from other Latin American countries include LATAM from Santiago via Iquique and from Lima. It is also now possible to fly between Cusco and La Paz with Amaszonas, making circular itineraries possible where you enter Bolivia from Peru across Lake Titicaca and then fly back into Peru. LATAM flies to Lima and Santiago, often via Iquique. Copa Airlines has begun to fly to Santa Cruz from Panama City. Avianca also flies to Lima and Bogotá. Gol Airlines and Aerolineas Argentinas also fly directly to Santa Cruz.
There are departures from Miami to Santa Cruz on American Airlines. Once you have your international flight booked - it's far easier and cheaper to organize your internal flights from the point of departure.
In 2014, portions of the Bolivian rail network were acquired by a Chilean company called La Empresa Ferroviaria Andina S.A. (FCA). Many discontinued passenger services appear to have been restarted. Check the FCA website for details.
Only about 5% of all the roads in Bolivia are paved. However, most major routes between major cities (e.g., Santa Cruz, La Paz, Cochabamba, Sucre) are paved. A 4x4 is strongly encouraged when traveling off the flatter altiplano. Be aware that in mountainous regions traffic sometimes switches sides of the road. This is to ensure the driver has a better view of the dangerous drops.
An international driver's license is required but most times EU or US driver's licenses will be accepted. There are frequent police controls on the road and tolls to be paid for road use.
There are many options for traveling from Argentina to Bolivia by bus. There are sites to check times online but as always in Bolivia, it pays to check on the ground in advance as well.
There is a bus that runs from Juliaca and Puno in Peru to Copacabana. Also, more commercial touristy Peruvian bus services connect from Peru to La Paz.
Blockades and transportation strikes (bloqueos) are a common occurrence in Bolivia, so try to keep tuned to local news. Strikes often affect local taxis as well as long-distance buses; airlines are generally unaffected. Do not try to go around or through blockades (usually of stones, burning tires, or lumber). Strikers may throw rocks at your vehicle if you try to pass the blockade. Violence has sometimes been reported. Many strikes only last a day or two. There is a government website with a live map showing which roads are closed or affected by landslides.
Bus transportation in Bolivia is a nice cheap way to get to see the beautiful scenery while traveling to your destination. Unfortunately the buses often travel solely at night. Keep in mind that roads are occasionally blocked due to protests, often for several days. So ask several companies at the terminal if you hear about blockades, unless you are willing to spend a few days sleeping on the bus.
Bus travel is usually pretty cheap. Estimate that it will cost you about US$1 for every hour of travel (it's easier to find travel times online than actual price quotes). Prices do change based on supply and demand. Buses generally do not need to be booked ahead, especially for common distances served by many companies. There are great bargains in it for you the shorter you book ahead. Just arriving at the station one hour before the buses leave can often give you a 30-40% discount over bookings several days before. However, as always, shop around and do not go with the first vendor that intercepts you when you arrive at the bus terminal. Hawkers are constantly crying out destinations in the bigger bus stations cajoling potential riders to take their bus line.
If you need to buy a ticket in advance, a good website is: Tickets Bolivia.
Note, that by bus travel anything of the following is meant, which falls into the same category but obviously differs in price and duration: bus (national), minibus (regional), servis (regional van), micro (city bus), trufi (city micro bus with fixed route), and colectivo (city taxis with fixed route and price). Servis' are often 50-100% more expensive than minibuses or buses, but go more often than buses. Buses should be a little cheaper than minibuses, but buses usually cover larger distances.
Contrary to Asia where buses go when full and schedules are unreliable, buses in Bolivia are forced by law to depart at their scheduled times, even if not full. Thus, wherever there is a timetable (or where times are stated somewhere, even if just by word of mouth), you can be pretty sure that the bus will really leave within 5 minutes of the scheduled time (that being said, the bus will not necessarily leave on the dot). Even if the bus has just 5 passengers, you will still pay the same price as if the bus were to be completely full.
Flying within Bolivia is quick and fairly economical. BoA connects most major cities.
On some routes, the roads are in such a dire condition that the train becomes the alternative of choice. Trains are more comfortable than one would expect, having for example reclinable seats. The trip from Oruro to Uyuni is especially beautiful, with the train going literally through an Andean lake on the way. The train is especially good for trips to the Salar de Uyuni and the Pantanal.
Coming from La Paz, you need to take a three-hour bus ride to Oruro to catch the train. It's best to book your tickets a few days before your trip. In La Paz booking office is at Fernando Guachalla No. 494, at the corner with Sánchez Lima (between the Plaza del Estudiante and Plaza Abaroa). Main stops are Uyuni, Tupiza and Villazon, on the Argentine border. Information here: . As of 2018-02-18, the route between Uyuni and Villazon is closed due to flooding. It is expected to reopen in October 2018.
Tickets Bolivia also sells advance train tickets.
Between Santa Cruz and the Pantanal it is more straightfoward to organize a trip. Just go to the Terminal Bimodal in Santa Cruz (see the Santa Cruz page for details), or the train station on the border in Puerto Quijarro. The train is also convenient for trips to the Jesuit Missions. Check the website (dead link: January 2023) for timetables.
For longer trips between towns and cities that aren't served by bus, shared taxis are common. Shared taxis are not safe for tourists, especially if you are solo female traveller. For taxi travel in cities it is good to have an idea of the expected price, but most (not all) taxi drivers are surprisingly fair and don't overcharge tourists.
Bolivia is an excellent place for hiking and trekking, both in the mountains, altiplanicas and the lush jungles, providing many interesting trails. However, due to the often remote nature of these trails, it is important that you are well prepared and have a proper and reliable map with you. In addition, using GPS adds an extra layer of safety, both in cities as well as the countryside. For reliable (offline) maps and comprehensive trails and map information, consult OpenStreetMap, which is also used by this travel guide, and by many mobile Apps like OsmAnd or Mapy.cz. Or just download the according GPX or KML files through Waymarked Trails for such trails on OpenStreetMap. (Note, you just need to change the OpenStreetMap relation ID to download the GPX or KML files through the same link.)
Bolivia has 37 official languages, of which Spanish (often called Castellano), Quechua, and Aymara are the main ones. In rural areas, many people do not speak Spanish. Nevertheless, you should be able to get by with some basic Castellano. Bolivia is one of the best places in which to learn or practice your Spanish because of their very clean, deliberate accent. There are many options for studying Spanish in Bolivia, and they are usually very good (often, the program includes a very good homestay component).
Bolivia has six UNESCO World Heritage Sites. In the eastern department of Santa Cruz there are the Noel Kempff Mercado National Park, the Inca site El Fuerte in Samaipata and the Jesuit Missions of the Chiquitos. Near the capital there is Tiwanaku, an archeological site with the remains of an pre-Incan city. Finally there are Sucre and Potosí, two cities founded by the Spanish in the 16th century.
Furthermore Bolivia has the world's largest salt flat Salar de Uyuni, a portion of Lake Titicaca with Isla del Sol and being located in the middle of the Andes — mountain peaks higher than 6,000m.
Many travellers head to Bolivia ticking off the main and popular todos and sights (like the Salar de Uyuni, chilling in Sucre, the mining tours in Potosí, the Death Road by bicycle, rain forest trekking near Rurrenabaque, and Lake Titicaca) and often leave after only two weeks. However, Bolivia offers much more, often remote and beautiful authentic places with friendly people, and you can easily spend one month or more here between the high altitude mountains and the lowland rainforests. Especially the fact that Bolivia is a great trekking and hiking destination is often neglected when pointing out the attractions of this country, but indeed there are numerous 1-12 day trails all over the country, many do not require a guide, while others are challenging mountain climbs. In the following, the most important destination off the beaten track that you should not miss, or even simply swap for the over-commercialised places mentioned before—except for maybe the Salar de Uyuni tour:
What does it cost? (May 2018)
The national currency is the Boliviano (ISO code: BOB), denoted Bs. (with dot).
Bills come in denominations of Bs. 200, 100, 50, 20, and 10; coins are in Bs. 5, 2, and 1, and 50, 20, and sometimes 10 centavos (1/10 of a Boliviano). Bills larger than Bs. 50 can be hard to break with smaller stores or vendors, other electronic stores or such dealing with larger amounts will be able to change it for you.
Bolivianos can be exchanged for US dollars, euros and most South American currencies at Casa De Cambio agencies or street vendors. However, it can be difficult to change money other than euros and US dollars for a good rate. Expect to negotiate for a favorable exchange rate, as most vendors will try to make money off tourists.
Nevertheless, street agencies (at least in La Paz) have very competitive US dollar (and even euro) exchanges rates with often less than 1% fee included in the rate. Sometimes US dollar rates are actually better than interbank rates, either due to the need of dollars or because the rate lags behind. Either way, check the rates before exchanging money.
Banks are a little less favorable, but of course more secure. Otherwise US dollars are accepted in hotels, tourist shops, and for large purchases, but the rates are generally less favorable then.
Using ATMs is the most convenient and effective way to get cash in Bolivia. High fees like in Argentina do not exist.
Banco de Credito (BCP) or "Banco Nacional de Boliva" (BNP) are good banks to get cash from without fees. Mercantil Santa Cruz, Banco Union and Banco Fie do not charge any fee either. Banco Sol charges Bs. 17. BNP ATMs at the main branch in Av. Camacho (La Paz) dispenses US dollar (up to 1000). Many other ATMs claim to dispense US dollars, but most of the time they are out of them.
Service charges are included with the bill. Still, a small tip, around 5% or so, is sometimes given, and is considered polite. No tipping necessary for taxi drivers.
Bargaining is not very common when it comes to day to day things. Generally, even as a tourist you will get the fair price. A few might add Bs. 1 here or there, especially in tourist hotspots, but the rip-off that is common in countries like Egypt or Vietnam does not happen in Bolivia. People are generally very fair to each other here. And 90% of the time asking for a lower price at the market or ho(s)tel, you will be out of luck or cause confused faces. However, after a while you will know the usual price and be able to spot outliers. This bargaining situation obviously does not apply to packaged tours—bargain as hard as you can with these.
Bolivia is famous for its produce, like Quinoa, Manioc, Avocado, etc. But it also produces high quality Stevia, the best of which is available at pharmacies for around Bs. 40 per 80g. The Stevia sold in tourist markets like the Witch Market in La Paz is crystalline and of poor quality, so do not waste your money on it. The latter is only half price (if you are good at bargaining) compared to the one sold in drug stores, but you need more of it to get the same sweetness.
Bolivia is a great place to get stuff repaired, because there are many handymen around, they do a very good job, and it is dirt cheap. So, if your hiking boots, bag or clothes are broken or torn, Bolivia is the place to get it fixed. This applies for getting clothing re-sized too.
The cuisine of Bolivia might be called the original "meat and potatoes" -- the latter (locally called papas from the Quechua) were first cultivated by the Inca before spreading throughout the world. The most common meat is beef, though chicken and llama are also easily found. Pork is relatively common. Deep frying (chicharron) is a common method of cooking all sorts of meat, and fried chicken is a very popular quick dish; at times the smell permeates the streets of Bolivian cities. Guinea pigs (cuy) and rabbits (conejo) are eaten in rural areas, though you can sometimes find them in urban restaurants as well. A common condiment served with Bolivian meals is ll'ajwa, a spicy sauce similar to Mexican salsa.
Almuerzo is very popular during the mid-day meal and usually consists of an appetizer (entrada), soup, main dish (segundo), and dessert. Walk around many streets around Bolivian cities and you'll see the day's menu for that restaurant. Most have at least 2 main dish options to choose from. Almuerzos run anywhere between Bs. 15-25 depending on the restaurant or 'pension'. Some notable Bolivian dishes:
Street food and snacks:
Mid-Morning snacks typically consists of any of several of meat-filled buns:
Many people also start off the day with some concoction involving fruit:
Vegetarians will find decent to very good options in Gringo-places around the country. But also at market places, there are good vegetarian options on offer (usually potatoes, rice, fried egg and salad for about 7Bs.) In bigger cities, there are some (decent to good) fully vegetarian restaurants.
Coca has been part of Andean culture for centuries, and chewing is still very common (and perfectly legal) in Bolivia. You should be able to buy a big bag of dried leaves at the local market. Coca is a stimulant, and it also suppresses hunger. Chewing a wad of leaves for a few minutes should bring slight numbness to your lips and throat. Remember the slogan (printed on souvenir T-shirts): Coca no es Cocaina ("The coca leaf is not cocaine"). But cocaine most definitely is an illegal drug. Remember this, only chew the leaf; if you eat the coca leaf it will make you sick.
Juice bars appear at most markets. Shakes (either with water or milk) are 2 Bs. 2-3. Locals can be seen to drink Vitaminico, an egg, beer and sugar concoction, or "Vitima", which includes coca leaves.
Bolivia's traditional alcoholic drink is chicha, a whitish, sour brew made from fermented corn and drunk from a hemispherical bowl fashioned from a hollowed gourd (round-bottomed so you can't put it down). It's customary to spill a bit of chicha on the ground before and after drinking it as an offering to Pachamama, the Inca earth goddess.
Tarija is located at 1924 meters above sea level, and is known for its wine-making, vast vineyards, and award-winning wines. Hence you can visit and taste wine at its beautiful wineries, such as: Campos De Solana, Kohlberg, Casa Vieja, Valle De Concepción, and Casa Real, where the famous Singani is made.
Offering a favorable exchange for Western tourists, lodging can be found at very reasonable prices throughout the country, from hostals to luxury hotels. In simple accommodations WiFi is not common, only if they cater for tourists.
There are not many hostels in the common sense around, except for the typical tourist spots. But even in normal and basic places (often called hostal, hospedaje or alojamientos) you only pay per person (Bs. 30-60) and not per room. So, you might end up paying Bs. 40 for a room with 4 beds, one taken by you.
Outside of large cities, hostel prices are considerably cheaper when walking-in than online. In large cities however, you will find it hard to find a bargain and it is better to reserve online.
It seems that Bolivia is very short on toilet paper. Thus, always have a spare supply of it and do not forget to take a little with you when you leave your ho(s)tel. Or it might even just be the tissues from the restaurant visit. Note, often the food in Bolivia is not very clean, requiring more visits to the toilet than in Western countries.
You will find many other travellers in South America, often doing the same route as you. It is fun and useful to travel together with others; rent a car together to save money, hike together for a more secure experience, or just share your knowledge on the way about dangers, volunteering, secret gems, or any other valuable information. Relying on this information and help is useful and important, as can be seen with this travel guide.
Facebook, for instance, has many local country groups available, like the Bolivia, Paraguay, Uruguay Backpacker / Traveler group where you can find other travellers and up-to-date information on the country. Also, hostels often have black boards available where you can sell and find stuff, or contact local travellers. Otherwise, just talk to the people that look like they need help or if you are trying to find help yourself.
Never book ahead in Bolivia. Many tourists plan their travel (too) far ahead, even organising trips across country borders with one and the same company, so called flexible bus and tour tickets. However, this flexibility is actually just a marketing point of these companies and comes at a hefty price. Travel companies mostly never operate across borders or even across tourism fields. Instead, they leverage other companies to organise and offer their spectrum to tourists and act as the man in the middle. But this adds to your costs and does not give you any bargaining ground whatsoever. Hence, turning up on site and booking short notice does always give you better prices for tours and buses. Also, it gives you more freedom and flexibility of travel time and planning. There are always more than enough tour and bus companies around, since everyone is trying to make money with tourists. A single tourist a week can provide enough income for them to last due to the often large margin they have. Hence, there are always more than enough available to choose from. This will give you the opportunity to fill remaining spaces at a very low price, and companies are happy to book as many people as possible at once, giving you the best bargaining ground ever with discounts of up to 50%. And even if they are fully booked, they will know other companies that have availability and try to book you on these ones, trying to make an additional cut for themselves. Remember, you are the rarity in sea of oversupply, at least along the beaten track.
Examples:
This seems to be rampant (but seldom) in this region and especially in cities like La Paz, Cochabamba and Sucre, basically everywhere where to expect larger amounts of tourists, but especially near plazas and in the center. In remote regions of Bolivia you should be safe from it, because the frequency of tourists to target is too low and travellers to such remote regions are generally more aware and firm with a country and travelling in general.
The scam: Generally, travelers — alone or in pairs — are being targeted for robberies in the centre of town or on a bus. Typically, a young man (an accomplice) will try to start up a conversation about hotels or hostels, and claim to be staying at the same one as the target. Alternatively, he might ask you for directions (to simple destinations), or start any conversation to befriend you. Then an "undercover police officer" (aka plain-clothed police officer) will arrive on the scene because of "passport difficulties" or "drug searches". Then the accomplice will often claim that the same thing happened to them and that it is best to just cooperate with them. If you hand out your passport, the "officer" will use it as ransom to get you into a car/taxi (part of the setup) to do a search at the "police station". At the fake station your luggage will be search and money will mysteriously disappear from it, which you will only notice after the incident when being back on the street. Some people have had all of there possessions stolen this way—including rings off of fingers. Even worse, if it turns out that no money or valuable are in your luggage, the situation might turn even uglier—an Austrian couple was found murdered in 2006 after following false police into a taxi.
Advice:
Note, the way of using an accomplice to befriend you is a recent twist in the scam. Be aware that the future might show other alteration of it, always ending up with you giving your passport to the "officer", entering the car and getting mugged afterwards.
This scam is seldom but still exists. If you suspicious and aware, or the kind of guy/gal not to be messed with, or even just clearly above 30, you are probably safe and do not have to fear these criminals. They usually target traveller they can handle with ease, i.e. youngsters in their 20s, naive and alone in the world for the first time—as sad as it sounds.
Some parts of Bolivia like La Paz (3,650 m), Potosí (4,010 m), Oruro (3,950 m) and the Lake Titicaca region (3,400 m) are high altitude, so adequate precautions against "sorojchi" altitude sickness should be taken.
At local pharmacies they sell sorojchi pills, that are supposed to help with altitude problems. It has painkillers as well as natural herbs to help cope with the symptoms of "sorojchi". In many parts of the Altiplano you can purchase coca leaves, which are reputed to be useful against soroche. Coca tea ("mate de coca") is available in tea bags in many markets.
However, severe cases of high altitude disease can be treated at the High Altitude Pathology Institute at Clinica IPPA. This clinic has the most advanced technology including a hyperoxic/hypoxic adaptation chamber. In addition, the sun's ultraviolet rays are much stronger, up to 20 times, than at sea level. A sun hat, sunglasses and skin protection (sunblock or long sleeves) are advised.
UV radiation is strong in La Paz and in mountainous areas. The use of high-factor sunscreen is recommended.
Yellow fever vaccination is recommended for those who plan on spending time in the Bolivian Amazon. It must be taken 10 days prior to the your arrival in the country if you plan to visit rural areas.
Malaria prophylaxis is recommended if the visitor plans to visit tropical-rural areas.
As a preventive measure, taking the following vaccines is recommended: Hepatitis A, Hepatitis B and Tetanus, Diphtheria and Measles Booster-Vaccines.
One should not drink tap water. Buy bottled water only.
Stomach problems are possible (dirty food etc.).
Petrol may contain lead. The sort that contains lead (it also stinks on the streets) is called "standard". If you plan a long term visit in Bolivia, you may want to investigate.
Do not use the word "indio" in Bolivia to describe indigenous people. It is considered offensive. The term they use is "campesino" which translates to peasant or "indígena". A "cholo" is a campesino who moved to the city, and though originally derogatory, has become more of a symbol of indigenous power. Nevertheless, some locals still use the word cholo as a derogatory term.
Bolivian culture is very warm and friendly; it is rude not to say buen día or buenos días to passersby in the streets. It also customary to give up your seat on a city bus for someone older than you and for men to give their seats up for women. In turn, others will give their seats up for you if you look a little bit older than they are.