It begins at Aktaklin Lake on the Chilcotin Plateau and winds north around the Rainbow Range to enter Dean Channel[1] at the now-uninhabited, remote community of Kimsquit.

It is one of the few rivers to fully penetrate the wall of the Coast Mountains between the Fraser's mouth (near Vancouver) and the mouth of the Skeena River (near Prince Rupert).

The Dean River is known as one of the best fisheries for steelhead in the world.

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