With the exception of Tashkent, which has some international-style hotels, accommodation in Uzbekistan tends to be in characterful but simple guesthouses. Many of these are in old caravanserais with rooms built around a central courtyard and with typical Silk Route décor. Despite the simplicity of the accommodation you'll find hospitable service and many of them are family run. The best thing about these properties is that they're generally located within the old city walls so you're often within walking distance of the key sights.
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