At a chilly 4,000 m altitude in the Andean highlands, a pinkish hue began to rise behind the valley of rigid mountains, which I can only describe as majestic.
It had been around 10 hours of dancing without rest in sub-zero temperatures, fuelled by several cups of San Pedro, nasal passages lined with Rapé, and feet stained with cactus pulp. But the constant rhythm of music was like an invisible hand pushing us all forward.
And forward. And forward…
By this point, it was mostly a zombie shuffle. The dancing tapered off hours ago, but the movement didn’t stop. We were exhausted, but enthralled by the magic of the ceremony, walking endlessly in circles around the sacred fire.
This was the first time I sat in a Wachumayu, a kind of San Pedro medicine ceremony connected to Quechua lineages in Peru. It roughly translates to “the river of San Pedro”, and they’re typically held from dawn to dusk during solstices.
People dance in a single direction around the fire all night, staying in rhythm with the ceremony’s energy. This ceremony helps us deepen the alignment between the spirit, the medicine, and the consistent breath of Pachamama (Mother Earth) herself.
But this is just one example.
In reality, there are many traditions and many ways people connect with the medicine of San Pedro, a cactus with deep ancestral ties that grows natively throughout the Andes.
Having spent almost three years travelling around Latin America by this point, I’ve sat with this medicine dozens of times, and let me tell you, every tradition has offered a very different San Pedro ceremony experience.
So, I’ve written this article to address the question “What is a San Pedro ceremony?” and share what I’ve learned. By the end, you’ll have a good idea of what to expect in a San Pedro ceremony, and why you might be called to work with this grounding medicine in the first place.
What is a San Pedro Ceremony?
A San Pedro medicine ceremony, also known as a Wachuma ceremony, is a traditional Andean ritual that’s centred around drinking the San Pedro cactus for self-discovery, healing, and guidance.
In Quechua cultures, San Pedro is not seen as a hallucinogenic cactus, as it is in the scientific community. It’s recognised as a living spirit that has its own intelligence that we can connect with when we approach it with respect.
This is an important distinction, because the main purpose of a Wachuma ceremony is to honour this spirit. The ceremony is almost like asking for permission, and incorporating elements like prayer and music to work with it in a conducive space.
Think about it this way.
You don’t just show up at a friend’s house uninvited, eat all of his food, and stay the night without permission. That would be bad etiquette, and you’d probably lose a friend in the process…
But if you ask him politely, respect his boundaries, and don’t expect anything, he might be happy to let you stay.
The intention of a ceremony is quite similar.
It’s like politely asking the spirit, “Can I come inside?” And perhaps, if you ask with sincerity and devotion, he may let you in, which is where the real work begins.
So, if you’re wondering what a San Pedro ceremony is, it’s the ritual to honour the medicine and ask it permission before connecting with it, while creating a space that’s conducive to its teachings.

Communing with the cactus
San Pedro ceremonies are facilitated by a healer who has undergone many years of training and initiations in this medicine, a wachumero.
When people work with this medicine, they are not using a plant. They are sitting with a teacher. A very wise teacher who has a whole lot of wisdom to impart to those who are willing to listen.
In Quechua traditions, Wachuma carries an elder energy. There is no rush, no judgement, no force. The teachings come through example, not instruction, and you’ll only be receptive to them if you pay close attention.
The relationship is like a grandchild eagerly leaning in to his grandfather’s stories passed down through generations.
The child doesn’t demand answers. He doesn’t interrupt or assert that his perspective is correct. He listens with curiosity and respect, ears perked and eyes wide open, and because of that, the wisdom lands.
When we commune with this medicine, we dip our toes into that deeper spiritual current. A current of presence, awareness, and let’s say, heart-led wisdom.
You find that, generally, the ceremony is less about the ritual (though important) and more about stepping deeper into the universe’s natural intelligence. The ceremony simply creates the space for that connection to happen organically.
What to expect in a San Pedro ceremony
It’s hard to say what to expect because different ceremonies follow different traditions, and different traditions create different containers.
In my experiences, I’ve sat through 24-hour-long ceremonies situated in a maloka that somewhat resembled group therapy. Each participant takes their turn to speak with the healer, sharing whatever is on their chest, while the others listen and offer support.
I’ve sat in Temazcales, traditional sweat lodges that incorporate San Pedro, and participated in several “power walks” aimed at connecting with the land, a particular site such as an old Incan temple, or an Apu (the spirit of a sacred mountain).
Then, in other ceremonies I’ve attended, the structure was more flexible, where, for the most part, you’re left to your own devices to connect with nature, meditate, and be present with the medicine in your own way.
Some different types of San Pedro medicine ceremonies I’m familiar with include:
- San Pedro Mesa: This is a traditional ceremony format that originated in Peru approximately three-thousand years ago. A Mesa typically lasts 10-16 hours, involves a traditional altar, and focuses on healing and connection. Daytime rituals often centre on growth and connection, while nighttime rituals are usually more inward-focused, using darkness to deepen introspection.
- San Pedro power walks: Many Wachumeros incorporate San Pedro into walks or pilgrimages through sacred land or sites. These ceremonies focus on cultivating a deeper relationship with the land and the spirits that inhabit it.
- Group healing circles: These are more communal and focus on collective intention, shared prayer, and mutual support. The group’s energy becomes part of the healing process.
- Wachumayus: A type of Wachuma ceremony where participants dance in a clockwise motion around a fire from dusk to dawn during a solstice. They’re usually held high in the Andes.
- San Pedro vision ceremony: Also known as vision quests (a sort of initiation), some traditions, such as the Red Road, incorporate Wachuma. They involve isolation in nature and fasting alongside the medicine.
That said, some common themes have appeared in every ceremony I’ve participated in, regardless of its form.
Each ceremony involves prayer and reverence to the cactus. They always treat San Pedro as a deeply respected guide or elder. Usually, San Pedro is offered many times throughout a ceremony, interspersed with prayers and words of gratitude that help align us with the spirit of Wachuma.
In my experience, participants usually abstain from drinking water during the ceremony, during which a water prayer is offered at the end.
Regardless of how the ceremony was run, each has been deeply nourishing and undeniably beautiful, with its unique flavour serving a specific purpose.
The San Pedro ceremony experience
The experience isn’t so much about gaining mystical insights or having profound visions.
Communing with the cactus is often quite subtle and can help you deepen your connection with the universe, the elements, community, and the self. It makes you feel less like an island and more like a cell in a body.
From a San Pedro medicine ceremony, people often report:
- A deeper sense of connection with themselves and nature.
- A grounding, calm, and sense of stillness.
- A clearer sense of direction or understanding of life choices.
- More attunement with their emotions.
- A deeper sense of connectivity to “the tribe”.
- Emotional release without overwhelm.
- A feeling of being gently realigned rather than radically changed.
- A feeling of lightness, like they’re not weighed down by the patterns and programs that defined them.
The journey tends to unfurl organically.
It’s more like being gently reminded of something you already knew, rather than having a big epiphany or breakthrough. The prayers and music aid this process of realignment, and nature grounds the experience.
Many people leave feeling more open to the universe and its possibilities, and deeply embodied. No longer emotionally scattered or caught in the mind. No longer faking anything or spiritually bypassing.
You’re more aligned. More real. More meaningful.
I would describe ceremonies as feeling deeply grounding, more emotionally receptive, and subtly energising.

What is a San Pedro vision ceremony?
When people refer to a San Pedro vision ceremony, they’re usually referring to a vision quest that involves the use of San Pedro.
Let me explain.
In the tradition I’m studying, we embark on yearly vision quests and work with the medicine of Bobinsana. The Red Road, however, works with San Pedro. This is a more prominent path that originated in North American traditions and, over time, merged with Andean shamanic traditions.
Likely, if you think of the classic vision quest with the tobacco-filled prayer flags, where you’re planted in a small space on a mountain top that you can’t leave until you’re harvested, it’s probably the Red Road.
During vision quests, following the Red Road tradition, that last 7 days or longer, participants are given a litre of Wachuma on day 4.
Without food or water, Grandfather Wachuma serves as a guiding force, offering powerful teachings (and visions) during this process.
But this isn’t something you want to jump into.
Vision quests are intense, and they’re not necessarily something you can just walk into either. It takes a highly experienced healer to gain the blessing to guide vision quests, and there are only a small handful of curanderos I’ve heard of who hold this honour.
If you feel called to participate in a vision quest with San Pedro, it’s best to find a natural inroad. This means spending some time in different medicine communities in South America, whether this is through retreats, volunteering, or paid work, and building connections.
As you immerse yourself more deeply in the medicine world and discover whether you truly want to commit yourself to these traditions, doors will open organically. You don’t need to force anything.
Finding a San Pedro ceremony near you
If you’re looking for a ceremony, it’s quite common for Ayahuasca shamans to also work with Wachuma, and some retreat centres offer them in conjunction with Ayahuasca.
Traditionally, San Pedro work is shared through trusted connections and guided by experienced Wachumeros who treat the plant as a teacher, not a spectacle.
That’s why, rather than focusing only on location, it’s more important to look for integrity. To make sure that the traditions are honoured, and you’re being guided properly.
While you can find genuine ceremonies in the Andes, especially in Peru, Bolivia, and Ecuador, if you’re looking for something a little closer to home, we also offer them in some of our retreats.
If you want to work with this medicine in Europe, check out our upcoming retreats with San Pedro, or book a call with us here to find out if working with this medicine is the right fit for you.
A San Pedro ceremony won’t promise dramatic visions. But when approached with sincerity, the right opportunity tends to appear naturally.


