Leh is relatively clean compared to other cities in India, largely due to its lower population density and the local community's efforts to keep it clean. However, as in any major tourist destination, waste disposal can be a challenge during the peak tourist season. Toilets and bathrooms in local establishments are often well maintained, but cleanliness standards can vary in remote areas. Sanitary practices are generally followed in restaurant kitchens, especially in establishments that cater to international tourists.