Purchase an all-inclusive pass at the Siena Cathedral that will allow entrance into all of the buildings at the Duomo. The items in the museum are interesting, but if you have limited time proceed immediately to the top floor and join the line for the Panorama. Only a certain number are allowed up at a time and the wait can be long. Our wait was about 35 minutes but those behind us waited longer. The steps are winding, steep and narrow, but if you can manage them the view is worth the effort. Three in our group could not climb all the way to the top, so we were allowed to take in the view from the first landing which was at about rooftop level (picture posted).
If you've had any kind of back, knee, or heart surgery recently, I'd think twice before making this climb. It was difficult for me with a quad cane and for my husband, who has arthritis. I accidentally hit my camera button as we approached the top of the steps and have a picture of myself huffing and puffing -- I look like the walking dead. It took about half of our time to recuperate from the climb, leaving us the other half to take pictures and enjoy the view. It was still worth it!
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