The Randolph Mountain Club (RMC) maintains the trails and several huts and shelters high on Mount Adams' north side, including "The Perch", "Crag Camp", "The Log Cabin", and "Gray Knob".

A large network of hiking and climbing paths lead south to the huts and ridges from several parking areas located on U.S. Highway 2.

[3] Winter hiking anywhere in the White Mountains requires specialized equipment and skills, as severe storms can develop suddenly.

High winds and low temperatures can combine to make winter conditions on Mount Adams approximately equal to the worst reported from Antarctica.

A hike to both summits includes a round trip of about 10.4 miles (16.7 km) and cumulative elevation gain of more than 5,000 feet (1,500 m).