Middle Fork Gila River Access provides entry to Trail #157, a 41. 4-mile wilderness trail featuring numerous wet-foot river crossings through a deep canyon with dramatic rock walls.

The southern trailhead is located near Gila Cliff Dwellings Visitor Center with parking available at Woody's Corral or the designated trailhead lot, while ample parking is also available at the northern Middle Fork Trailhead.

Water must be filtered from the Gila River, and the trail is open year-round with no fees required for non-commercial use.