Maximum discharge along the river is currently at the reporting a streamflow rate of cfs. This is also the highest stage along the Middle Fork River, with a gauge stage of ft at this location. This river is monitored from 1 different streamgauging stations along the Middle Fork River, the highest being situated at an altitude of ft, the .

The Middle Fork River is a 92-mile long tributary of the North Fork of the American River in California. The river has a rich history, as it was once a significant source of gold during the California Gold Rush. The river's hydrology is heavily influenced by snowmelt in the Sierra Nevada mountains. The Middle Fork American River is impounded by the French Meadows Dam, which creates the French Meadows Reservoir, a popular recreational spot for fishing and boating. Additionally, the Oxbow Hydroelectric Project diverts water from the river to generate electricity. The Middle Fork River is also used for agricultural irrigation. Recreational activities on the river include whitewater rafting, kayaking, and fishing. The river is known for its challenging rapids and stunning scenery, attracting thousands of visitors each year.