The trail runs north-south along the entire Oregon Coast, following the shore as closely as practical.

Many parts of the trail leave the beach and take an inland path, usually where land formations make the shoreline impassable, such as at Cape Kiwanda.

A dedicated guidebook for the OCT was published in 2015, called Exploring the Oregon Coast Trail.

Written by Connie Soper, the book details 40 consecutive day hikes, and also includes maps and logistical information for the entire Oregon Coast Trail, such as tidal considerations and arranging for boat rides.

Sometimes a hiker must choose between waiting for a lower tide or walking inland to avoid high water.

Seasonal recreation restrictions are in place from March 15 through September 15 in some locations to protect shorebird nesting.

[6] Many state campgrounds have areas dedicated for hikers and bicyclists at reduced prices (compared to vehicles).

Beach camping is allowed where out of sight of residences, not adjacent to state parks, and not near snowy plover during nesting season.

Several portions of the trail are pristine and secluded, such as the segment from Bandon to Port Orford, where several days of relative solitude and free camping exist.

Cities and towns of various sizes are located along Highway 101 every 20 to 25 miles (32 to 40 km) permitting re-provisioning on a regular basis.