Ciudad del Este can be off-putting, especially around the frenetic bridge/border crossing/shopping area. But venture passed that to the Casa Alta Hostel to find a beautiful city. Casa is spacious, has a pool area with pretty flowers and trees, and a sunny rooftop overlooking the city, perfect for kicking back for an extra day or two. There might be some construction noises during the day, but it's nothing serious, and the nights are quiet. Bathrooms are clean, mattresses could be better, nice balcony/terrace.