Betty's Island Boat Ramp is a popular access point on the Caney Fork River known for paddling and trout fishing, featuring a smaller parking lot that fills up quickly on busy days and a long, narrow road from parking to the water that can cause backups.

The ramp is notable for the famous "island" visible when water levels are lower, making it an excellent spot for wading anglers to cast for trout.

This location serves as a midpoint for 3-5 hour scenic floats and is approximately 3 hours downstream from Center Hill Dam.