It is said that Qacha’s Nek was established in the late 19th century as a mission station and is some 1980m above sea level. From here one can also gain access to the Sehlabathebe National Park, the country’s first national park. One of its main attractions are the giant California Redwood Trees that grow to a height in excess of 25 metres and are generally over 50 years old.  

Archeological evidence exists that suggests that this part of Lesotho was inhabited as far back as 50 000 years ago. Today, it is connected to Mohale's Hoek by tarred road, and it has easy access to Matatiele in the Eastern Cape Province of South Africa.