10 Questions to Ask an Ayahuasca Retreat Before You Book
Email these to three centers and compare the answers. A serious center welcomes them. One that gets defensive has already told you what you needed to know.
Choosing where and with whom you drink is the most consequential safety decision you make after the medical review.
There is already a published consensus on what responsible practice looks like: in 2019 ICEERS released, with a public health department, the first official guide to safety standards for ayahuasca sessionsICEERS 2019 These ten questions distill it.
The single most important one is the first. A center that accepts you without asking anything about your health has failed the test before you have finished reading its website.
You can prepare for months, follow the diet perfectly and arrive in the best shape of your life — and if you choose the wrong center, none of that protects you. This is the decision that outweighs the rest of your preparation.
It is also a decision you can make well with very little expertise, because the questions that separate a serious center from a careless one are not subtle. Send these ten by email to the three centers on your shortlist, and let the comparison decide rather than the marketing.
The ten questions
1. Do you ask for a medical and psychological history before accepting me?
Good: yes, a detailed questionnaire and a chance to discuss it.
Red flag: "No need, everyone's welcome."
This is the strongest single signal there is. A responsible center asks for your history before saying yes, and turns away people with contraindicationsICEERS 2019
2. What training and how many years of experience does the person guiding the ceremony have? Can I get references?
Good: a concrete, verifiable answer, given without discomfort.
Red flag: vagueness, irritation, or "just trust the energy."
You should be able to find out who will guide the ceremony: their training, years of practice, and real referencesICEERS 2019
3. How many participants and how many assistants are there per ceremony?
Good: a contained group, several assistants.
Red flag: mass groups, or one facilitator for many people.
One person cannot properly attend to thirty at onceICEERS 2019
4. What is your protocol for a medical emergency, and how far is the nearest hospital?
Good: a clear protocol, a medical kit, an evacuation plan, a known distance.
Red flag: "Nothing's ever happened," or they cannot answer.
Many centers are hours from real medical care. That is survivable if they have planned for it, and only if.
5. Are there women on the facilitation team?
Good: yes, with an explicit protection policy.
Red flag: no — or the question bothers them.
6. What exactly is in the medicine, and is any other plant added?
Good: full transparency, and consent required for any addition.
Red flag: opacity, or surprise blends.
7. What integration support do you offer afterward?
Good: included sessions, or referrals to professionals.
Red flag: nothing; "you leave and that's it."
A center that sends you off the next day with nothing more has misunderstood — or does not care — where the real work happens.
8. What is the total price, all-inclusive, with no surprises?
Good: a clear breakdown in writing.
Red flag: hidden costs, pressure, expiring discounts.
9. How do you work with the teachers and the local community? How are they compensated?
Good: a concrete answer, given with pride.
Red flag: evasiveness or discomfort.
This is the criterion almost nobody gives you. A center that pays its teachers fairly and is transparent about it is not just more ethical — it tends to be more serious about everything else too. The cheapest retreat is sometimes cheap because someone else is paying the differenceICEERS
10. Can I speak with past participants, or see independent references?
Good: yes, no problem.
Red flag: only testimonials controlled by the center.
A center that gets annoyed or evasive about these questions has already answered the most important one.
A good center welcomes them — it means you are taking this seriously, which is exactly what they want from a participant.
How to actually use them
Send the same list to three centers, in writing, and keep the replies. Two things happen. You get comparable answers instead of impressions — and you find out how each center behaves when a prospective participant asks it to account for itself, which is information you cannot get from a brochure.
One practical note on timing: serious centers usually have waitlists of weeks or months. That works in your favor, because it gives your preparation the runway it needs. Immediate availability combined with sales pressure is a signal, not a convenience.
Sources
Every medical or safety claim on this page traces to one of these. This is the same editorial rule the full course follows.
- ICEERS 2019ICEERS (2019). Towards Best Practices with Ayahuasca: A Guide for Organizers and Participants — the first guide of its kind published alongside a public health department.
- ICEERSICEERS — El Faro / integration. The Art of Integration (Marc Aixalà), and the El Faro support service.