Traditional entry or exit points for journeys on the river are Taumaruni, Ohinepane, Whakahoro and Pipiriki. Most facilities and services that cater for river travellers are found in Taumarunui and Wanganui, although some facilities are found at Raetihi and Ohakune. Accommodation is available in the local towns.
Both kayaks and open Canadian canoes can be used on the river, though most people find Canadians more convenient to carry bulky camping gear. Canoes can be hired from a number of local outlets.