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Raising South American domestic camelids is the main source of subsistence in the Peruvian Andes. Under the understanding that pre-slaughter handling and transport practices can affect meat quality an evaluation was done of South American camelids based on animal welfare criteria and carcass lesions. Data were collected at the Huancavelica municipal slaughterhouse, Peru. A total of 203 carcasses were inspected post-slaughter for lesions from trauma. Information collected on transport included number of animals transported per vehicle, transport characteristics and animal handling practices. Every one of the 203 evaluated carcasses exhibited evidence of pre-slaughter mistreatment. A total of 1,418 lesions were recorded, with an average of 6.9 ± 0.2 per carcass; four animals (1.9 %) exhibited generalized traumas. Of the 27 animal group arrivals, half were in cars (50.0 %). Grade 2 and 3 lesions were associated with transport in any vehicle type (OR= 2.20, 95% CI: 1.27 - 3.82), and no vision restriction (OR= 2.26, 95% CI: 1.66 - 3.06). Large area lesions were associated with pre-slaughter wait times greater than 24 h (OR= 1.42, 95% CI: 0.99 - 2.03). South American camelid transport and handling practices at the studied slaughterhouse were generally poor and clearly compromised carcass quality as evidenced by ubiquitous lesions. Animal welfare criteria and regulations for South American camelids were not fulfilled.