Lee Metcalf Wilderness offers 259,000 acres across four distinct units with 28 trailheads and 300 miles of trails for camping, hiking, and fishing.

Bear Creek Campground, the primary access point on the west side of the Madison Range, features 12 campsites (6 with horse facilities), vault toilets, and water available mid-May through September; it serves as the trailhead for Middle Fork and Trail Fork trails into the wilderness.

The Bear Trap Canyon unit provides year-round access to the Madison River with the famous Class IV-V Kitchen Sink rapid and a 15-mile trail with fishing and camping spots, accessible via the Wilderness Boat Launch at the south end.