The heavy monsoon rains can make the forest route to Sabarimala slippery and challenging for pilgrims, increasing the risk of accidents and injuries during the trek. Pilgrims, especially the elderly and those with health conditions, may face difficulties navigating the terrain. Medical posts are set up along the route during the pilgrimage season to address health emergencies. Pilgrims are advised to carry minimal weight and wear appropriate footwear to ensure safety during the trek.