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I did this hike with my husband and teenage sons. Basically, you take a service from the Circumvesuvia station at Herculeneum to the base of the trail. There is a company right at the left of the train station. They run a shuttle bus up to the trail head. The trail is wide, no drop offs, gravel paved. A lot of people and not very difficult.
Yes, it is up hill all the way, but not difficult.