The Big Butt Trail has two trailheads. The southern lies on the Blue Ridge Parkway at the Walker Knob Overlook. The other lies along NC-197 to the north. Shuttling is an option but infrequently chosen. Most choose an out-and-back hike from one trailhead to the summit - nearly 3 miles from either. A well marked spur to the summit leads through a maze of mountain laurel before reaching a small rocky overlook to the west.

When approached from the south, the trail passes over Little Butt first, then follows with a rugged push up to Big Butt. The access point along the Blue Ridge Parkway makes this a slightly more popular option to reach the summit.

In contrast, when approached from the north you begin with a brutally demanding climb from the road. The trail is built extremely well and consistently maintained as it switchbacks its way to the ridge. As you begin a southbound traverse, the grade of the trail levels as you wander around Flat Spring Knob and to Big Butt. Roughly 2-miles in, look for a gnarled, leaning tree pointing north. While its origin is unclear, Native Americans historically bent tree saplings when young to force them to grow in a particular direction. Most times, these trees would point to water, shelter, or other identifying landmarks.

Tent camping opportunities are prevalent near the summit should you wish to make an overnight trip of it. If beginning along NC-197, there are even more opportunities to camp due west along the road.