Beginning below Forkston, the route follows the Mehoopany Creek to the city of Mehoopany where it joins the Susquehanna River. The Mehoopany has Class II and III rapids, with a section of long wave after wave rapids. There are a few holes that are not technical. The scenery is gorgeous with cliffs frequently lining the right shores with small cascading side streams and then running through a valley withbroad mountains and is mostly undeveloped. Strainers are a possibility, though they rarely cross the entire creek and there is no significant braiding as the main channel is usually obvious. Running this creek considered one of the best in the region. The most convenient spot for taking out is at a private access site located on the Susquehanna right before the Highway 87 bridge.