[5] The original indigenous name for the mountain was Shandoka, which translates to "Storm Maker", a reference to the peak's effect on local weather patterns.

Wilson Peak is climbed by hundreds each year, primarily in summer months, but winter ascents are not unusual and sometimes serve as the beginning of backcountry skiing descents.

[citation needed] Summer ascents of the peak are considered Class 3 technical climbs, meaning that scrambling over rock is required (with hand holds being used for balance) and ropes typically not employed.

In 2009, Nichols reportedly threatened climbers who were returning from the summit on Wilson Peak with trespassing charges or alternatively, to issue a mea culpa by means of an advertisement in the local newspaper.

[20][21][22] In September 2024, 53-year old experienced hiker Herbert Wise was fatally injured when he fell 300–400 feet from Wilson Peak's Rock of Ages trail.

Because of its proximity to Telluride, Colorado, many local companies and festivals use images of Wilson Peak in the advertising to convey the beauty and mountainous nature of the area.