Elk Creek Outfitters operates guided fly and spin fishing trips from Boone, North Carolina, targeting trout, smallmouth bass, and musky across multiple rivers in the Southern Appalachians. The outfitter has been in business since 2000 and offers wade trips, float trips, and two-day overnight excursions. Overnight trips accommodate groups of four or more and include two nights in cabin lodging on or near the Watauga River in Elizabethton, Tennessee, with two full days of fishing, all gear, two gourmet riverside lunches, one steak dinner, and one breakfast at $1,100 per person. Guests can customize species and river selection based on season and preference—fishing trout one day and smallmouth the next, or focusing on a single species for both days. Wade trips start at $275 and float trips at $470.