Most of the voyages are very primitive rural areas this time. Usually there are no cable car, no lift at the piers. Going to shore excursions means walking a long distance on the stone steps. During winter seasons, the steps could be 20 to 100 long, which are difficult for disabled and some seniors.

In some places, like Lesser Three Gorges and Shennong Stream, passengers have to board small boats to drift on the upper reach tributaries. Transfers are quite inconvenient, for balance and stability are bad.

Assistance will be available on the cruise ships. But traveling with family or friend, or pre-arranging an assistant when booking, is strongly recommended.Before booking your cruise, ask your cruise specialist to check the accessibility of the ship's public areas and cabin amenities.