The Little Baullie Mesa trail connects the Hotel Rock Jeep Safari trail to Elk Mountain Road in the Manti La-Sal National Forest via Milk Ranch Point. It offers scenic views of Comb Ridge and the area around the head of Arch Canyon. Multiple side spurs access overlooks of Comb Wash and the rim of Arch Canyon, as well as the interior of Little Baullie Mesa. This trail can be used as a connector in a long overland route through Bears Ears National Monument from Arch Canyon and Hotel Rock over Elk Ridge to the Beef Basin area and the Elephant Hill trail.
The trail starts at a turn-off to the right from the Hotel Rock trail just before reaching Hotel Rock. There is one significant optional rock ledge obstacle near the beginning of the trail, where it climbs to the terrace above Hotel Rock. This obstacle can be bypassed by taking an alternate route. A side spur splits off to the east just below this obstacle which leads to an overlook of Comb Wash. A short spur at the top of this obstacle leads to an overlook of Hotel Rock.
The rest of the road across the upper level of Little Baullie Mesa consists of a mostly moderate, lightly used dirt track until reaching the final climb to the top of Milk Ranch Point, which is rocky and rutted. The road on top of Milk Ranch Point is a graded dirt road until the junction with Elk Mountain Road. Near the beginning of the climb up Milk Ranch Point is a hiking trailhead to Lewis Lodge, one of the more famous Ancestral Puebloan ruins in the area. Camping is allowed along the trail, though no established campsites exist.