Nearly six miles of roads and trails are open to visitors most of the year. Four wildlife trails and a handicap-accessible boardwalk and observation tower are available for those who wish to observe the varied habitats of the refuge. Bicycling is popular on the roads of the refuge because of the scenery and the small amount of traffic. However, bicycles are not permitted on the trails, and are only allowed on the paved and gravel roads.
Kent County operates the Ingleside Recreation Area and Bogles Wharf landing within the refuge. The Ingleside Recreation Area, on the northwest side of the refuge, has facilities for crabbing and car-top boat launching from April 1 to September 30. Picnic tables are available for use during these months. Bogle's Wharf landing is located on the east side of the refuge and offers trailered boat launching facilities (county permit required - not available at the refuge office). It is also possible to launch canoes or kayaks from this location. Additionally, fishing opportunities are available at the refuge entrance from the bridge that spans the Eastern Neck Narrows.
There are limited deer-hunting opportunities each fall. On ten days in September and October, the refuge permits deer hunting by hunters that obtained a permit thought a lottery drawing system. The harvest of deer on the island controls the deer population to the benefit of the habitat, other wildlife, and the deer. The refuge is closed to the public on these days.