Middle Creek Reserve Boat Ramp sits on the Wakehurst Parkway at North Narrabeen, providing access to Narrabeen Lagoon. The facility features a single-lane concrete ramp with eight car parks and is open 24 hours.

The reserve forms part of the Narrabeen Lagoon multi-use trail network, a designated wildlife protection area where dogs must remain on a leash at all times and cats are prohibited.