The Truckee River in Placer County offers multiple access points for fishing and paddling between Tahoe City and Truckee, with several U. S. Forest Service campgrounds (Granite Flat, Goose Meadow, and Silver Creek) providing facilities and river access.

A paved Class I bike path connects Tahoe City to Squaw Valley Road, with additional informal pullouts and fishing access points along SR 89, though parking and amenities are limited at many locations.

Commercial rafting is available on the upper reach from Tahoe City to River Ranch (approximately 5 miles), with two permitted operators limiting traffic to 100 boats per day each.