Ladakh is situated about 11000 feet above the sea level the impact of flying of Volleyball at high altitude has been a hot topic in discussion to assess the effect of altitude on match result and physiological performance of a professional Volleyball player of Ladakh particularly for team playing a game at high altitudes with the drop in air pressure making it difficult for the body to obtain sufficient oxygen at high altitude hypoxia called and dehydration can leads to get breathlessness headache nausea dizziness and fatigue and possibly altitudes illness including syndromes such as acute mountain sickness, High altitude illness including syndromes such as acute mountain sickness high altitude pulmonary edema and cerebral edema. Activities such as an exhibit symptom preventing from performing at full capacity.