I bought this guidebook after realizing that the most popular one to trekking in the whole country, Lonely Planet's Trekking in the Nepal Himalaya, has barely changed since my 1st copy of it from 1994, still only covering the very same treks in much the same length.
This book promised to cover more off the beaten treks as well, and indeed it did - kind of. As things stand, by far the greatest coverage is still devoted to the 3 main trekking areas (Annapurna, Everest, Langtang-Helambu) and while an effort has been made to include alternative (but usually minor) trails in these regions, overall I found descriptions and maps of these far less clear and practical than in the LP guide. Certainly there's much less info on accommodation and other facilities along the trails and on prices, and without recommended overnight stops breaking up the flowing...
The first edition of this venerable guidebook came out way back in 1972! The 8th edition (2011) continues the tradition of providing very helpful information on planning a trek and understanding the Nepali way of life. An entire chapter, 36 pages, covers health care. The appendix has a good balance of Nepali phrases, enough to get you going without being overwhelming. The routes concentrate on the three main tea-house trekking regions: Annapurna, Everest, and Langtang/Gosainkund/Helambu. The last chapter has a variety of lesser-used routes, though I was disappointed to find such notable destinations missing as Kanchenjunga, Manaslu, Mustang, and Dhaulagiri.
I recommend reading this book especially for the background, and you'll likely find some routes not in other guidebooks. I also recommend Lonely Planet's Trekking in the Nepal Himalaya for the superior maps and greater number of off-the-beaten-track routes; it's also a bit more compact and easier to carry.
This is the classic. Worth owning and reading even if your never go.
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