The airport offers scheduled passenger flights to Nassau and several destinations in Florida as well as regional jet flights nonstop to three major U.S. hubs, Atlanta, Charlotte and Miami in the U.S.

In 2007 a new runway was built to allow larger, regional jets to operate from Marsh Harbour.

The building incorporates architectural elements that reflect culture of The Bahamas.

The new 46,000-square-foot (4,300 m2) terminal has 22 counter positions, a new luggage scanning system, pilot briefing room, two restaurants, one lounge, shops, and a public parking area.

Thompson was a prominent son of Hope Town who flew bombers for the Royal Canadian Air Force during World War II.