Saint Louis Creek Road is an easy, hard-packed dirt road with occasional shallow washboards, periodic potholes, and small rocks no larger than chicken eggs. The road is very well-maintained, starting as a county road just west of Fraser before transitioning into a Forest Service road with a seasonal winter and spring closure. Although easy and suitable for any vehicle, trailers and large RVs are not recommended to travel beyond the FS 159 intersection and the Leland Creek staging area, as the road narrows substantially and offers no turn-around spots. Users will encounter several blind corners along the road's southern end and are encouraged to watch their speed. The road passes many hiking trails and other road intersections before dead-ending at a gate and a multi-point turn-around spot at the Saint Louis Lake hiking trail. This road provides mild fall color viewing, with isolated groves existing primarily along the northern reaches.
Dispersed camping is not allowed along the road, but improved camping at St. Louis Creek Campground allows usage from May 16th to September 20th for a fee. Usage of the campground is very heavy, with reservations available online.