Although Bhutan is located in the Himalayas, the main settlements like Paro, Thimphu or even Bumthang are in the elevations below 3000 meters which poses very little or no risk to health in regard of altitude sickness syndrome. Unless you are going for trekking above 3500 meters, you don’t need to worry at all. To read about the risk on Bhutanese treks, prevention and related topics, follow reading this post!