Guatemala City Safety Guide
Health, security, and travel safety information
Emergency Numbers
Save these numbers before your trip.
Healthcare
What to know about medical care in Guatemala City.
Healthcare System
Guatemala City has a two-tier healthcare system consisting of public hospitals (which are often overcrowded and under-resourced) and private hospitals and clinics (which offer good to excellent care). Most travelers should plan to use private healthcare facilities.
Hospitals
Major private hospitals include Hospital Centro Médico, Hospital Herrera Llerandi, Hospital Universitario Esperanza, and Sanatorio El Pilar. These are primarily located in Zones 9, 10, and 14. Most accept international insurance and credit cards but may require payment upfront. Emergency rooms are available 24/7.
Pharmacies
Pharmacies (farmacias) are abundant throughout the city. Major chains include Farmacia Cruz Verde, Farmacia Galeno, and Farmacia Klee. Many medications available by prescription-only in other countries can be purchased over-the-counter. However, counterfeit medications can be an issue, so use reputable pharmacies. Some pharmacies operate 24 hours.
Insurance
Travel health insurance is not legally required but is strongly recommended. Medical evacuation insurance is particularly important as serious conditions may require transport to the United States or other countries. Ensure your policy covers Guatemala and includes emergency evacuation.
Healthcare Tips
- Bring sufficient prescription medications in original containers with doctor's notes
- Private hospitals may require a deposit or proof of insurance before treatment
- Keep copies of your insurance policy and emergency contact numbers
- For serious medical issues, consider medical evacuation to your home country or the United States
- Drink only bottled or purified water to avoid waterborne illnesses
- Altitude (Guatemala City is at 1,500m/4,920ft) can cause mild symptoms; acclimatize gradually
Common Risks
Be aware of these potential issues.
Guatemala City has significant rates of violent crime including armed robbery, carjacking, assault, and gang-related violence. Express kidnappings (short-term abductions for ATM withdrawals) occur occasionally. Most violent crime is gang-related and occurs in areas tourists rarely visit.
Pickpocketing, bag snatching, and theft from vehicles are very common throughout the city, including in tourist areas. Thieves often work in teams and target distracted tourists. Theft from stopped vehicles at traffic lights is common.
ATM skimming devices, fraudulent ATMs, and robberies near ATMs occur regularly. Criminals sometimes follow people who have withdrawn money.
Public buses are frequent targets for robbery and assault. Unlicensed taxis pose risks of robbery and assault. Carjackings occur, particularly of high-end vehicles.
Traveler's diarrhea, parasitic infections, and foodborne illnesses are common. Tap water is not safe to drink.
Guatemala City has significant air pollution from vehicle emissions, particularly during rush hours and dry season. Can aggravate respiratory conditions.
Scams to Avoid
Watch out for these common tourist scams.
Criminals impersonating police officers stop tourists, claim to need to check for counterfeit money or drugs, and steal cash or valuables during the 'inspection.' Some work from unmarked vehicles.
Unlicensed taxi drivers charge excessive fares or, in worse cases, rob passengers or drive them to isolated areas. Some work with accomplices who pose as additional passengers or 'police.'
One person creates a distraction (spilling something on you, asking for directions, dropping items) while an accomplice steals your belongings. Common variations include the 'mustard scam' where someone squirts something on you and offers to help clean it.
Unlicensed individuals pose as tour guides or represent fake tour companies, taking payment for services never rendered or providing substandard, unsafe tours.
Street money changers or unscrupulous exchange offices give incorrect change, use sleight of hand to shortchange customers, or exchange counterfeit bills.
Card information is copied using skimming devices at ATMs, gas stations, or restaurants, then used for fraudulent charges.
Safety Tips
Practical advice to stay safe.
General Safety
- Stay in Zones 9, 10, 13, 14, or 15 where most tourist infrastructure is located and security is better
- Avoid walking anywhere after dark; use registered taxis or Uber even for short distances
- Keep a low profile - don't display expensive jewelry, watches, cameras, or phones
- Make copies of important documents and store separately from originals
- Register with your embassy upon arrival
- Learn basic Spanish phrases for emergencies
- Keep emergency numbers saved in your phone and written down
- Trust your instincts - if something feels unsafe, remove yourself from the situation
Accommodation Safety
- Choose hotels with 24-hour security, secure parking if you have a vehicle, and good reviews
- Use hotel safes for passports, extra cash, and valuables
- Don't open your hotel door without verifying who is there
- Keep your room number private
- Know emergency exits and evacuation procedures
- Consider staying in gated communities or hotels in Zones 10 or 14
Transportation Safety
- Never use public buses (red urban buses or 'chicken buses') - they are frequent targets of crime
- Use Uber, which is widely available and generally safe in Guatemala City
- If using taxis, call for radio-dispatched taxis or use official taxi stands at hotels
- Arrange airport transfers in advance through your hotel
- Keep car doors locked and windows up while driving
- Don't stop for apparent accidents or people flagging you down
- Avoid driving at night outside the city
- Park only in secure, attended parking lots
Money and Valuables
- Carry only what you need for the day; leave extra cash and cards in hotel safe
- Use ATMs inside banks or shopping malls during daytime hours
- Divide money between different pockets/bags
- Consider using a money belt or hidden pouch under clothing
- Don't count money in public or at ATMs
- Have small bills available to avoid showing large amounts of cash
- Notify your bank of travel plans to avoid card blocks
- Keep emergency cash separate from your daily money
Communication
- Purchase a local SIM card for reliable communication
- Share your itinerary with family or friends
- Keep your phone charged and consider carrying a portable charger
- Save important numbers including your embassy, hotel, and emergency contacts
- Be cautious when using phones on the street - phone snatching is common
- Use messaging apps that work on WiFi as backup communication
Health Precautions
- Drink only bottled water; avoid ice unless you know its source
- Use insect repellent to prevent mosquito-borne illnesses
- Ensure routine vaccinations are up to date; consider Hepatitis A and Typhoid vaccines
- Bring a basic first aid kit and any prescription medications
- Wash hands frequently or use hand sanitizer
- Be cautious with street food if you have a sensitive stomach
- Consider altitude if you have heart or respiratory conditions
Situational Awareness
- Always be aware of your surroundings and people around you
- Avoid wearing headphones that prevent you from hearing your surroundings
- Don't accept food, drinks, or cigarettes from strangers (drugging can occur)
- Be especially vigilant in crowded areas where pickpockets operate
- If you feel you're being followed, go to a public place or your hotel
- Vary your routines and routes if staying for an extended period
- Be cautious of people who seem overly friendly or helpful
Information for Specific Travelers
Safety considerations for different traveler groups.
Women Travelers
Women travelers should exercise heightened caution in Guatemala City. While many women visit safely, catcalling and unwanted attention are common, and women are sometimes targeted for theft or worse crimes. Solo female travelers should be particularly vigilant. The culture is generally machismo, and women may face more harassment than in their home countries.
- Avoid walking alone, especially after dark; use Uber or taxis even for short distances
- Dress modestly to avoid unwanted attention; avoid revealing clothing
- Don't disclose that you're traveling alone; consider wearing a fake wedding ring
- Be firm and assertive if harassed; ignore catcalls rather than engaging
- Stay in reputable hotels in safe zones (10, 14, 15) with good security
- Keep your room number private and don't invite strangers to your room
- Be cautious when accepting drinks; watch your drink being prepared
- Join group tours rather than exploring alone, especially in Zone 1
- Have your phone charged and accessible at all times
- Trust your instincts - if a situation feels uncomfortable, remove yourself
- Consider connecting with other travelers or expat women's groups
- Be especially cautious in bars and nightlife areas; don't leave drinks unattended
- Carry a whistle or personal alarm
- Learn key Spanish phrases like 'Déjame en paz' (Leave me alone) and '¡Socorro!' (Help!)
LGBTQ+ Travelers
Homosexuality is legal in Guatemala (since 1871), and the age of consent is equal. However, same-sex marriage is not recognized, and there are no comprehensive anti-discrimination laws protecting LGBTQ+ individuals. Hate crimes based on sexual orientation or gender identity are not specifically addressed in law.
- Exercise discretion with public displays of affection; holding hands may attract unwanted attention
- Research LGBTQ+-friendly accommodations in advance; some hotels may be unwelcoming
- The LGBTQ+ scene is small and centered mainly in specific bars/clubs in Zones 1 and 4; research safe venues before going
- Be cautious about disclosing sexual orientation or gender identity to strangers
- Consider using LGBTQ+ travel apps cautiously; arrange meetings in public places
- Transgender travelers may face additional challenges; carry identification that matches your presentation if possible
- Be aware that police may not be supportive if you experience discrimination or harassment
- Connect with local LGBTQ+ organizations like OASIS or Colectivo Amigos Contra el SIDA for advice and support
- Dating apps should be used with caution; meet in public places and tell someone where you're going
- Rural areas and smaller towns are generally less accepting than Guatemala City
- Some religious sites and conservative areas may be particularly unwelcoming
- Consider travel insurance that explicitly covers LGBTQ+ travelers
Travel Insurance
Travel insurance is essential for Guatemala City due to elevated crime rates, healthcare costs for foreigners, political instability risks, and natural hazards including earthquakes and volcanic activity. Medical evacuation alone can cost tens of thousands of dollars. Many private hospitals require payment upfront or proof of insurance before treatment. The unpredictable security situation means trip cancellation or interruption is a real possibility.
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