Can I use US dollars, or do I need local currency? What is the local currency, exchange rate, etc.?

Most places readily accept US dollars if they aren’t ripped or worn. They will generally give your change in the local currency. The local currency is the Peruvian Sol. It is best to use local currency in markets. You can exchange money in most towns, such as Pisac. Cusco will give you a slightly higher rate. The exchange rate fluctuates daily. For current exchange rates you can visit: Xe.com.