Around Annapurna hike is more than a moderate trek with longer hours of walking. Since the altitude gain is very gradual it is suitable for anyone with reasonable fitness. However, anyone with a knee, ankle, heart, or lungs pre-medical history needs to seek medical consent before considering joining this trek. Though the Mountain Monarch itinerary is so designed that the walks are challenging but not very exhausting yet some pre-training is a must to figure out how many hours or how much weight you can handle. With some physical preparation, anyone can be ready to benefit from the paradise-like setting of the diverse Annapurna region.