My first advice is to bring a stepstool so you can actually see the view.
Yes, sarcastic, but given that I'm an American male of average height (5-foot-10.5), I should not have to stand on my very tippy-toes to glimpse the square below. A simple platform to stand on would be deeply appreciated. My wife doesn't climb towers, so she waited on the ground -- and missed seeing me because all she could possibly have seen was my hands flapping above the edge of the screened windows encircling the top of the tower.
All in all, though, it was worth the climb. Most of the steps are actually quite wide for a medieval attraction. The last couple of short flights are tight, so be prepared to wait for the sometimes heavy one-way traffic to clear.
The mechanics of the carillon are very cool, and hearing the noon bells was a great experience. If you happen to be on one of multiple landings on the way up or down when the carillon or hourly bells ring, walk to the stairwell to hear better.
Views in the distance aren't bad, and if you hold your camera high enough and poke the lens through the stainless steel mesh, you'll get some decent pics.
Go as early as you can manage to avoid the crowds. I had a short wait around 11 a.m. in part because it was a grey, damp day and everyone in Bruges was sluggish.
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