East Beach is generally safer for swimming than the island's south-facing beaches due to calmer waters and gentler currents. However, there are no lifeguards on duty, so swim at your own risk. The beach faces the Cape Fear River and Intracoastal Waterway rather than the open Atlantic, resulting in smaller waves. Always check local conditions before entering the water, watch for boat traffic, and supervise children closely. Strong currents can occur during tidal changes, so exercise caution regardless of how calm the water appears.

East Beach is enjoyable year-round, with each season offering distinct experiences. Summer (June-August) brings warm waters ideal for swimming but larger crowds. Spring and fall offer pleasant temperatures, fewer visitors, and excellent conditions for shelling and wildlife viewing. Winter provides solitude and dramatic scenery, though water temperatures are cold. Early morning visits any season offer the best chance for pristine shelling and wildlife encounters. Sunrise at East Beach is particularly spectacular, as the beach faces east toward the Atlantic horizon.

Bald Head Island is car-free and accessible only by passenger ferry from Southport, North Carolina. After the 20-minute ferry ride, you'll reach the island's marina. From there, visitors use golf carts, bicycles, or walk to East Beach, located about 2 miles from the marina. Most visitors rent golf carts from island providers or use bicycles. There are no paved parking lots; instead, you'll find designated cart parking areas near beach access points. Day-trippers and overnight guests follow the same transportation methods.

East Beach itself has no commercial facilities or amenities, maintaining its natural, undeveloped character. The island's main village area, near the marina, offers several restaurants, a general store, and the Maritime Market for provisions. Lodging options include vacation rental homes and the Marsh Harbour Inn. Most visitors staying on the island pack coolers and beach supplies to bring to East Beach. Public restrooms are limited, so plan accordingly. The island's small size means everything is relatively close by golf cart or bicycle.

Old Baldy Lighthouse, North Carolina's oldest standing lighthouse built in 1817, is located near East Beach and is open for climbing seasonally, typically spring through fall. The lighthouse is managed by the Old Baldy Foundation and requires a small admission fee. Climbing the 108 steps rewards visitors with panoramic views of the island, beach, and surrounding waters. Hours vary by season, so check ahead before visiting. The lighthouse grounds also feature a small museum and the Smith Island Museum, providing historical context about the island's maritime heritage.