This was, by far, my best trek ever. Manuel Paco is an experienced and very professional guide who continued to help me face daunting physical challenges, hour after hour.
I would not recommend this trip for the faint of heart as it will push you harder than any personal trainer, but it is good for the mind and heart to fully appreciate another culture. The Inca Trail Reservations group handles all kinds of issues with patience and good knowledge.
Our group of seven had one hiker with bad intestinal stomach problems and two others with altitude sickness and, at all times, Manuel took care of us with such good will. I highly recommend Inca Trail Reservations and the good people who make it work so well, including the wonderful Quechua cook and porters.