Pocomoke Sound is a wide estuary where the Pocomoke River meets the Chesapeake Bay, bounded by the Maryland shore near Crisfield and the Virginia salt marshes near Saxis. This saltwater sound is the gateway to the Pocomoke River, which is noted for being exceptionally deep and narrow for its length. The sound itself offers excellent paddling along its north shore, which features numerous creeks and inlets. A key launch for accessing the sound is at the Cavalry Road bridge across Jenkins Creek, south of Crisfield. From there, paddlers reach the sound by heading south on a canal past Crisfield on the Little Annemessex River, then proceeding either west and south around Cedar Island into Tangier Sound or taking a shortcut through Broad Creek Cut-through and Ape Hole Creek; the latter route is preferred in strong northerly winds. Other launch points providing access to the sound and its adjacent waterways include Shelltown Landing and Pitts Landing, both located near the river's mouth. Pitts Landing offers access to the scenic and twisting Pitts Creek, which is largely free of boat traffic. For multi-day trips, paddlers can camp at Janes Island State Park in Maryland, which has a water trail with primitive campsites, or at the Tall Pines Harbor campground near Saxis in Virginia, which has amenities like showers and requires advance reservations. The sound is exposed to wind and weather typical of the Chesapeake Bay, and paddlers must plan routes considering wind direction, particularly using protected cuts when northerlies are strong. The surrounding landscape transitions from estuarine salt marshes to the unique bald cypress swamps of the Pocomoke River watershed, characterized by dark, tannin-stained water. The area is largely undeveloped, supporting a wide biodiversity, and is part of a region with significant ecological importance to the Chesapeake Bay.