Medical insurance, inclusive of evacuation reimbursement, is strongly recommended before arrival in Lesotho. It is better to carry prescription medicines and drugs for common ailments with you, as pharmacy supplies in Lesotho are erratic. Malaria is common; so do consult your physician on required prophylaxis before departure. Medical facilities are available in all major cities but can be sketchy in rural areas. It is best to stick to Maseru if you expect a health breakdown.
Tap water is safe throughout the country. Water in the mountain streams is probably one of the purest and sweetest you will drink any where in the world. Exercise discretion if there is human habitation upstream. Bilharzia is not a problem in Lesotho.
Lesotho is a politically stable and safe country for travellers. Like any other country in the world, Lesotho is not totally crime free. It is advisable to avoid walking the city streets at night and essential to take normal precautions with valuables. Do not leave your vehicle unlocked or your baggage unattended. Best leave passports and fat wallets behind in the hotel safe. Rural areas are much safer from petty theft. Help may be a great distance away, so it is advisable not to try anything risky while in the outlying areas. Do not take photographs of Government buildings, military installations, the Palace and the airport. When in doubt it is best to ask, is the dictum for any traveller in any place. If you are camping at a village, please ask for permission from the local headman. People are very friendly and helpful; so you should have no problems finding him. Last but not the least, Lesotho is almost unspoilt and it is only fair to leave it that way!