No individual regulation entry exists for Meadow Creek. It falls under Kootenay Lake's tributaries bucket: bull trout catch-and-release. Region 4 stream defaults also apply: closed Apr 1 to Jun 14, single barbless hook required year-round, and winter trout/char catch-and-release Nov 1 to Mar 31. Confirm the current synopsis before you fish, and never fish inside or immediately below the managed spawning channel.

NRCan lists this Meadow Creek, at 50.218889, -116.979167, as the official Kootenay Land District water at the north end of Kootenay Lake; several other B.C. creeks share the name elsewhere, so this record is specific to the Lardeau Valley water. It runs stream order 5 (well down the network toward river scale, on a scale that runs from 1 for a headwater trickle up to 6 or more for a full river) and stretches roughly 22 km, draining into Kootenay Lake close to the Duncan River and Duncan Lake system that the spawning channel was built to compensate for. Two small tributaries carry their own records: John Creek, tied to the channel's flow and sediment history, and Mat Creek, with its own bull trout redd counts.

Provincial fish-inventory data ties 189 direct observations to Meadow Creek, led by kokanee and rainbow trout, with bull trout, brook trout, westslope cutthroat and even an isolated tench record on file. That count reflects the creek's role as a production system rather than a stream full of catchable resident fish: most of the kokanee are spawners staging or dying in and around the channel, and bull trout move through each fall to spawn and get counted, not targeted. The 2019 Kootenay Lake bull trout redd survey counted 21 redds in Meadow Creek and 17 in Meadow Creek (Matt/Mat), a system total of 38, though the same report flags 2019 as a likely undercount after rain and high discharge obscured redds from observers.

Away from the managed channel, active redds and staging fish, resident trout and whitefish will still take a fly on kokanee eggs and fry, juvenile fish, sculpin, whitefish and the small mayflies, caddisflies, stoneflies and terrestrials typical of a Kootenay Lake tributary. Where it's legal to fish, small searching patterns cover the resident fish: an Elk Hair Caddis, Adams, Stimulator, Prince Nymph, Hare's Ear Nymph or Pheasant Tail Nymph, with a small Woolly Bugger or sparse fry/sculpin streamer for prospecting away from spawning fish. No dedicated Meadow Creek fishing guide advertises trips here; nearby Kootenay Lake operators do not list creek outings, so the water is better treated as a byproduct of the fishery it feeds than a booked destination.

The Meadow Creek Spawning Channel is a public kokanee-viewing site roughly 4 km north of Meadow Creek off Highway 31, with seasonal public hours from late August through early October. Electric fencing goes up around the active spawning area each August through October to protect redds from bears, and grizzly sightings at the fence line are routine; the gate closes without notice for bear activity or channel operations, so treat a closed gate as a hard stop.