The Fall River is one of the finest spring creeks in the West. It shares many of the traits that make the Henry´s Fork, Hat Creek, and Silver Creek famous: predictable hatches, crystal clear water, steady flows and water temperature, sight fishing opportunities, and large trout that feed on small bugs. However, the access to Fall River is very restricted. It is only fished from boats, specifically flat-bottomed prams fitted with electric motors and/or small gas engines. Fishing from the boat allows anglers to make deadly downstream drifts to visibly feeding fish.

Fall River fishes very well throughout the trout season. The size 14-16 PMD is the mainstay during spring and summer. These bugs hatch between 10am and 2pm and bring many large fish to the surface. Hexagenia Limbata mayflies hatch in June and July, providing a chance to catch a 20+" trout during the last few minutes of daylight. Summer brings excellent fishing, although the weather is frequently uncomfortably hot. Damselflies, water boatmen, leeches, PMDs, and evening caddis hatches provide excellent opportunities to hook into an 18+" rainbow during the summer months. Fall brings excellent dry fly fishing.