The race is shaped by sustained high altitude rather than by any single climb. Stages typically start and finish between 3,500 and 4,500 meters, with some routes crossing passes above 5,000 meters. The oxygen deficit flattens power output and slows recovery between stages, so GC gaps often emerge late in the week as fatigue compounds. Breakaways can survive longer than usual because chasing groups struggle to sustain tempo at altitude. Time bonuses and positioning on summit finishes matter more than raw climbing watts. Riders who acclimatize well or arrive from altitude training camps tend to control the race, while those who treat it as a standard stage race often fade after the third day.