Updated October 15, 2026
    Access point

    BLM Public Access Pointson Medicine Lodge Creek

    Several designated public access areas found along Medicine Lodge Road.
    Medicine Lodge Creek reportDirections44.1800°N, 112.6000°W
    Bite report · week of Oct 4

    What's working on Medicine Lodge Creek

    1. 01Blue-Winged Olive (BWO) Comparadun (#18-22) is crucial for selective trout feeding on emergers and adults during fall BWO hatches.
    2. 02Pheasant Tail Nymph (#14-18) effectively mimics various active mayfly nymphs, especially during fall BWO periods.
    3. 03Blood Dot Egg (#10-14) capitalizes on the fall spawning season, effective for opportunistic trout feeding on dislodged eggs.
    4. 04Olive Sculpin (#4-8) is a great streamer choice for aggressive trout keying on baitfish and sculpins in colder water.
    5. 05Focus efforts on deeper pools, current seams, undercut banks, and healthy weed beds for prime trout holding locations.
    6. 06With clear skies and cooler water, trout can be selective; a dead-drift with minimal drag is paramount for subsurface presentations.
    7. 07Consider a multi-fly nymphing rig with a heavier pattern trailed by a smaller midge for finicky feeders.

    What to tie on at BLM Public Access Points

    Picked from recent reports for this stretch.

    dry80%

    Blue-Winged Olive (BWO) Comparadun

    #18#20#22#24

    Fall BWO hatches are a staple on Idaho spring creeks, and this low-profile dry fly is excellent for selective trout feeding on emergers and adults.

    Buy at Amazon
    nymph80%

    Baetis Nymph

    #16#18#20#22

    Baetis nymphs are active year-round on spring creeks, and are particularly effective during fall BWO hatch periods.

    dry80%

    PMD (Pale Morning Duns)

    #16#18

    Pale Morning Duns are actively hatching in fall, providing a key food source for opportunistic feeders like Rainbow and Cutthroat Trout.

    streamer80%

    Olive Sculpin

    #4#6#8

    As water temperatures drop in the fall, aggressive trout will key on baitfish and sculpins, making this a 'hot fly' in colder water.

    egg80%

    Blood Dot Egg

    #10#12#14

    Fall is egg season below spawning trout, making this a highly effective pattern for opportunistic Rainbow and Cutthroat Trout.

    Buy at Amazon
    streamer80%

    Pine Squirrel Leech (Olive)

    #14#16

    Small leech patterns effectively mimic sluggish baitfish and annelids in cold fall water, enticing strikes from larger, lethargic trout.

    nymph80%

    Zebra Midge

    #18#20#22#24

    Midges are a primary and consistent food source year-round in spring creeks, effective as a subsurface searching pattern.

    Buy at Amazon
    nymph80%

    Pheasant Tail Nymph

    #14#16#18#20

    This versatile nymph effectively mimics various mayfly nymphs, which are active subsurface during fall BWO periods.

    Buy at Amazon

    Idaho season by season

    What changes on the water through the year, with the flies for each season.

    Mar – MaySpringRead the guideJun – AugSummerRead the guideSep – NovFallRead the guideDec – FebWinterRead the guide

    Fly shops nearby

    Local flies, current advice and guided trips.

    All fly shops
    46MIThree Rivers Ranch OutfittersAshton, Driggs, Island Park, Boise55MIThe Lodge at Palisades CreekIdaho Falls