Pat Mayse Lake offers multiple public boat ramp access points managed by Texas Parks and Wildlife Department and local operators, with facilities like Sanders Cove (North) providing parking and public access.

The lake's 6,000 acres and 67 miles of shoreline support boating, paddling, and water recreation, with nearby campgrounds offering amenities including electric hookups, dump stations, and additional boat ramp access at Pat Mayse East and other developed areas around the lake.