You might want to try Tours By Locals (One of my friend is a guide for them in Hiroshima). You can filter the search results by “wheelchair accessible” and then can communicate with the guide about your needs.

From what I understand they can be much more flexible than other guides and offer personalized tours in most cases. So you could…

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I’ve never been, but from everywhere I’ve checked the only way up is via those stairs 🙁

As for paying people to help, I’m afraid the only place I’ve heard of something like that was at Ise Shrine in Mie, and it is only about 30 steps…

Maybe a local sports team could volunteer?

How did things work out?

Hi, sorry for the delay. Just a question – you said your relatives have difficulty with stairs. Are they OK with one or two steps, or do they need it to be completely flat (ie wheelchair users)?