What to know before you go
Choose a guided walking route or ask about alternative access before booking. Wear shoes with grip; sandals are a poor choice for muddy trails. Swimming depends on water conditions and the guide’s safety assessment. Allow time for the walk back rather than planning a tight onward transfer.
Walking, riding and the final approach
Ask which trail the guide plans to use and whether your itinerary is walking-based or includes a horse. Riding does not necessarily remove all walking or steps. Travellers who cannot manage uneven terrain should discuss the final approach explicitly rather than assuming a mounted excursion makes the waterfall accessible.
Water, weather and swimming
Rain can change trail traction and water conditions. Bring shoes that can get muddy, protect your phone and allow a slower walking pace in humid weather. Treat swimming as an optional activity subject to the guide’s assessment, rather than the reason a tour must proceed in unsuitable conditions.
Combine it without rushing
If your base is Las Terrenas, an El Limón outing can work as the main activity of a day. Adding Cayo Levantado introduces a road transfer and boat logistics. Ask for the complete route and realistic time at each stop before booking a combination.