A group from my medical mission and I went to the Pacaya volcano in June 2013. The drive there was around 1.5 hours. When we got there, the hike started with bricks and concrete blocks embedded in path, but soon became just a dirt path, and then became a dirt path with a wide crevice in the center. The hike up to the top was between 1-2 hours, all the while men on horses would offer you rides (for a fee, of course).
The hike is quite strenuous, and you should be in moderately good physical condition to attempt the hike to the summit. Bring LOTS of water (at least 1.5 litres). The only place to buy food and water and go to the restrooms is at the beginning of the hike. Otherwise, there are no other facilities.
The hike is definitely worth it, though: the top is beautiful, and seeing the crater with steam coming out of it was amazing. The area is prone to rain, so make sure to bring a poncho!
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