A 34-year-old member from Bogor Utara, Indonesia, was climbing Annapurna IV in Nepal when she developed severe altitude illness at Camp 3. She reported difficulty breathing, severe headache, facial swelling, cough and nausea and requested evacuation. Communications then stopped for a time, and later updates confirmed she had descended to Camp 2. A family member attempted to activate a helicopter independently before coordination with the operations team was clarified. As her symptoms did not improve by the following day, the operations team approved a helicopter evacuation from Camp 2 to a medical center in Kathmandu. She was admitted and treated for high altitude cerebral edema, low potassium levels and dehydration and was discharged the next day. Reviewing physicians noted no concerns with her care.