An American in Karachi

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Traveling to Pakistan: Key Information for American Citizens
Visa Requirements
Electronic Travel Authorization (ETA):
American citizens need an Electronic Authorization to Travel (ETA) to visit Pakistan. This can be applied for online through the Pakistan Online Visa System.
Apply 48 to 72 hours before your trip.
Fees:
Single-entry visa (tourist, study, or family visit): $60
Multiple-entry visa (tourist, study, or family visit): $120
Work or business visa: 100∗∗(single entry)or∗∗200 (multiple entry)
Transit visa: $30
Visa Validity:
Tourist visa: Valid for up to 3 months with double-entry option.
Visa extensions are available for stays of up to 6 months.
Medical Visas:
Short-term medical visa:
Valid for up to 3 months (single entry).
Issued by Pakistani missions abroad.
No security clearance required.
Processing time: 48 hours on working days.
Long-term medical visa:
Valid for up to 1 year (multiple entries).
Processing time: 4-6 weeks on working days.
Can be extended by the Government of Pakistan.
Required Documents:
A letter of invitation from a local hotel, Pakistani host, or travel agent is required for visa approval. Plan ahead to secure this document.
Healthcare in Pakistan
A mix of private and public healthcare, with significant disparities in quality between the two sectors.
Edhi Foundation:
Runs the world’s largest volunteer ambulance service, offering free or low-cost services to all, regardless of ethnicity, religion, or status.
Operates free nursing homes, orphanages, clinics, and rehabilitation centers. Embodies the spirit of charity and generosity in healthcare.
Things to Be Mindful Of
1. Ramadan
During the Muslim fasting month of Ramadan:
Most Pakistani Muslims avoid eating or drinking between dawn and dusk.
Restaurants often close during the day, and offices may operate on reduced hours.
Tips for Travelers:
Be self-sufficient with food during daylight hours.
Avoid eating or drinking in public during fasting hours.
Evenings are lively with festive gatherings as people break their fast.
Note: Ramadan dates shift annually based on the Islamic lunar calendar.
2. Women Travelers
Pakistan is a conservative, male-dominated society, which can pose challenges for female travelers.
Cultural Norms:
Men and women often do not mix in public.
Women may be seated in segregated areas on public transport and in some restaurants.
Challenges:
Solo female travelers may face suspicion or occasional harassment.
Foreign women may attract curiosity or protective attitudes.
Opportunities:
Unique access to both male and female social spheres.
Insights into family dynamics and the lives of Pakistani women.
Tips:
Traveling with a male companion can reduce obstacles.
Dress modestly and respect local customs.
3. Checkpoints
Pakistan has numerous checkpoints where identity documents are required.
Tips:
Carry multiple photocopies of your passport and visa.
Always keep the original passport with you.
Be prepared to present documents during long-distance road trips.
4. Dress Code
Shalwar Kameez:
Pakistan’s national dress, consisting of a long tunic worn over baggy trousers.
Practical, comfortable, and culturally appropriate.
For Women: Add a dupatta (scarf) to cover hair when visiting religious sites.
5. Public Behavior
Public Displays of Affection (PDA):
PDA between men and women (kissing, holding hands, etc.) is frowned upon. Same-sex relationships are illegal, and attitudes toward LGBTIQ+ individuals are negative.
6. Bargaining
Haggling is common and expected in markets.
Approach bargaining as a lighthearted social exchange.
Aim for a mutually satisfying outcome for both buyer and seller.