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Walking in environments with stairs and curbs is potentially dangerous for people with low vision. We sought to understand what challenges low vision people face and what strategies and tools they use when navigating such surface level changes. Using contextual inquiry, we interviewed and observed 14 low vision participants as they completed navigation tasks in two buildings and through two city blocks. The tasks involved walking in- and outdoors, across four staircases and two city blocks. We found that surface level changes were a source of uncertainty and even fear for all participants. Besides the white cane that many participants did not want to use, participants did not use technology in the study. Participants mostly used their vision, which was exhausting and sometimes deceptive. Our findings highlight the need for systems that support surface level changes and other depth-perception tasks; they should consider low vision people's distinct experiences from blind people, their sensitivity to different lighting conditions, and leverage visual enhancements.