Have flown the Kathmandu VOR/DME RWY 02 approach a bunch of times...mostly in the clag from 30k to the minima and once or twice with 60k crosswinds on the first part of the approach. Then I flew in there on a nice sunny day about my 4th time and you look at the Himalayas and inhale the seat.
The approach is down a not very wide valley (LOTS of radial scalloping) and the airport sits in a cross valley at the end at about 4500'...two valleys making a T and the MSA to the north is 20800'
