Car rental in La Paz, Bolivia starts at El Alto International Airport (LPB), where Europcar, Hertz and Fox Rent A Car all list airport locations - a rare full line-up for the Andes - and continues at city offices below. The defining fact is altitude: El Alto sits above 4,000 metres, so engines lose power, and drivers freshly landed should acclimatize before tackling the city's steep, chaotic grid. A 4x4 or high-clearance SUV is the sensible default for the altiplano - Tiwanaku, Lake Titicaca's shore roads and any unpaved detour - and note that most rental agreements prohibit the North Yungas 'Death Road', which is best left to guided cycling tours anyway. Book ahead: fleets are modest, and automatic transmissions are scarce in this market.
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