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The difficult part about the middle of the world (Mitad del Mundo) in Quito, Ecuador is not how to get there but what way pose you'll strike between hemispheres.
Food. It's what everybody needs. But it can be challenging when you head to a town that doesn't specialize in ordinary cuisines you might be used to.
It’s up to you to decide for yourself, but many people argue that the market at Otavalo has become so touristy that you might as well do your shopping for indigenous articles at the airport. Tip: Side step the tourist traffic at the Otavalo market and hit up the Thursday market in Saquisili instead.