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Medicine Bow River - fly fishing in Wyoming

Medicine Bow River

Fly fishing in Wyoming · Beginner · Best seasons: Summer, Fall

Target Species

Brown Trout, Rainbow Trout

About This Water

Southeast Wyoming stream with brown trout. Snowy Range mountain scenery.

Fishing Recommendations

The Medicine Bow River is one of Wyoming’s best-kept secrets. Flowing from the high alpine tundra of the Snowy Range down into the sagebrush plains of Carbon County, it offers a "Dr. Jekyll and Mr. Hyde" fishing experience. It transitions from a tumbling mountain stream to a classic, meandering high-desert meadow river.

As your guide, here is the comprehensive breakdown for tackling this rugged and rewarding fishery.


🎣 Location Overview

The Medicine Bow River is a quintessential Wyoming freestone. What makes it special is its remoteness and diversity. Unlike the heavily pressured sections of the nearby North Platte, the Medicine Bow offers solitude.


🐟 Target Species & Behavior

The river is primarily a Brown and Rainbow Trout fishery, though you will find Brook Trout in the higher elevations.


📅 Best Times to Fish

Optimal Seasons:

Best Times of Day:

Prime Windows:

The "Golden Window" on the Medicine Bow is the Stonefly hatch in July. If you time the tail-end of the runoff correctly, you can catch the Salmonfly or Golden Stonefly hatches, which bring the largest fish in the river to the surface.


🪰 Recommended Flies & Techniques

Top Fly Patterns:

Effective Techniques:

  1. Dry-Dropper: This is the most effective way to cover the Medicine Bow. Use a buoyant Chubby Chernobyl as your indicator and hang a bead-head nymph 2-3 feet below it.
  2. Tight-Line Nymphing: In the upper rocky sections, "high-sticking" through the pocket water is lethal.
  3. Streamer Stripping: In the fall, cast streamers tight to the undercut banks in the meadow sections and strip them erratically.

💡 Pro Tips & Local Knowledge


⚠️ Important Information

Access Information:

Regulations & Permits:

Special Considerations:

Guide’s Final Word: The Medicine Bow isn't about counting fish; it's about the quality of the experience. Bring a 5-weight rod, a box of hoppers, and a sense of adventure. Tight lines!

Bug Hatches & Matching Flies

HatchTypePeak monthsTime of dayHook sizesMatching flies
Blue Winged Olive
Baetis spp.
mayflyApril, May, September, OctoberLate Morning/Afternoon#18-22RS2 #20-22, Parachute BWO #18-22, BWO WD-40 #20-22
Pale Morning Dun
Ephemerella dorothea infrequens
mayflyJune, July, AugustMid-morning to Early Afternoon#14-18PMD Sparkle Dun #16-18, Pheasant Tail Nymph #14-18, Split Case PMD #16-18
Golden Stonefly
Hesperoperla pacifica
stoneflyJune, JulyAll Day/Afternoon#8-12Pat's Rubber Legs #8-12, Rogue River Stone #8-10, Golden Chubby Chernobyl #10-12
American Grannom
Brachycentrus occidentalis
caddisMayAfternoon#14-16Elk Hair Caddis #14-16, Peacock Caddis Larva #14-16, LaFontaine's Deep Sparkle Pupa #14-16
Yellow Sally
Isoperla spp.
stoneflyJuly, AugustLate Afternoon/Evening#14-16Yellow Sally Foam Stone #14-16, Little Yellow Sloan #14-16, Stimulator (Yellow) #14-16
Grasshopper
Acrididae
terrestrialJuly, August, SeptemberMidday/Afternoon#8-14Morrish Hopper #10-12, Dave's Hopper #8-14, Rainy's Grand Hopper #10-12
Trico
Tricorythodes spp.
mayflyAugust, SeptemberEarly Morning#20-24Trico Spinner #20-24, Sunken Trico Spinner #22-24, Griffith's Gnat #20-22
Midge
Chironomidae
midgeMarch, April, October, NovemberMidday#20-24Zebra Midge #20-22, Morgan's Midge #22-24, Top Secret Midge #20-24

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