The trail runs from north to south through Cuyahoga, Summit, Stark, and Tuscarawas counties.

[2] The Great American Rail-Trail will follow another portion of the trail, from Clinton southward.

[8] In 2003, The Stark County Park District voted to rename the 25 miles (40 km) of the trail within Stark County the "Congressman Ralph Regula Towpath Trail".

Regula was honored for his support in Congress for the Ohio & Erie National Heritage Canalway.

[7][9] The trail has multiple surface types including asphalt, cement, concrete, crushed limestone and hard-packed earth.