The Keiskamma is a river estuary located near the coastal village of Hamburg in the Amathole District Municipality. The estuary is a tidal, saltwater feature where the river meets the Indian Ocean. The primary public access point for paddlers is the Keiskamma river launch in Hamburg, which is associated with the Keiskamma Ski Boat Club. This launch provides direct entry to the estuary. The water body is subject to wind conditions; when strong winds blow across the exposed hills, the normally calm surface can develop small, choppy waves with whitecaps, creating challenging paddling conditions. Conversely, the estuary can become glass-like and very calm in windless periods, particularly in the late afternoon. The area is a designated tourism hub, and the estuary's banks feature amenities like Dorego's Pub & Restaurant at the caravan park, offering a vantage point and potential services. The surrounding landscape includes picturesque seaside hills. The estuary is part of a larger coastal system; the nearby Morgan Bay area, which features the Inchara river estuary, is ideal for canoeing, standup paddle boarding, and other water sports, indicating a regional paddling culture. The Keiskamma River mouth was historically surveyed by the Royal Navy ship Barracouta. Paddlers should be aware of potential boat traffic from the ski boat club and plan trips around wind forecasts, aiming for the calm, early evening conditions often described.