The best spots include the tailwater below Yellowtail Dam, known for cold, clear flows and consistent hatches. Shore access is ample along the riverbanks, though drift boat fishing offers broader reach to deep pools and eddies. Key access points are the Afterbay access site and Three Mile Fishing Access Site. Fly fishing dominates—use nymphs and dry flies like Blue-Winged Olives and PMDs, especially spring through fall. Winter midge hatches also draw action. This stretch of the Bighorn ranks among the top trout rivers in the U.S.