It is served by the 2 Line, part of Sound Transit's Link light rail system, and opened on April 27, 2024.

[3] East Main is an at-grade station but lies at the south end of the Downtown Bellevue tunnel.

The ballot measure that approved East Link in 2008 initially planned for the Downtown Bellevue portion of the route to be at-grade, however, the City of Bellevue committed to $185 million in cost-sharing to finance the tunnel.

[5] The station offers similar amenities to existing Link light rail stations, including ticket vending machines, bicycle parking, and public art.

A new park over the portal of the Downtown Bellevue tunnel was constructed and incorporates a new multi-use path to connect the station to Main Street and the nearby Surrey Downs neighborhood.