What made it work
- The hard part is the first 36 hours: a late landing in Lima, a morning flight up to Cusco's altitude, and a 4 AM trailhead pickup the next day. This group chose to start straight away, so the comfort went exactly there: an oxygen-enriched room, dinner on the hotel credit, the briefing in the lobby, breakfast in a box, and the same room type booked for the night back.
- I wrote to the Cusco hotel ahead of both nights with the arrival time, the pickup time and the late check-out, so the plan was the hotel's plan too.
- I had trekked with the same operator on my own Peru trip, so the packing list, the carry-on rule and the gear-rental fallback in Cusco came from what went wrong on mine.
From my own trek with the same operator
Two more days, if you have them. I would add two easier days at altitude before the trailhead, and that is the version I suggest first: sleep lower in the Sacred Valley, then come up to Cusco. This group chose the fast start, so the trip was built to make the fast start work.
Pack for the first 36 hours. Wear your hiking boots on the plane and keep your day pack, socks, base layer, jacket, rain gear and medications in your carry-on. If a checked bag goes missing anyway, rental shops in Cusco can outfit you the evening before. Someone in my own group needed one.
Carry one more layer than you think. Several light layers work better than one heavy jacket. The moment you stop for a snack or to let someone catch up, you cool down fast.
Coca tea is not acclimatizing. It is offered everywhere and it is culturally normal, but it does not replace a slow first day. See a travel medicine doctor before the trip.
Lima arrivals. Lima has automated eGates for adult visitors with an e-passport who complete the free MigraCheck pre-registration within 48 hours of arrival. In early use they cleared people in under a minute, against an arrivals line reported at up to an hour. The system is new, so check it before you fly.