Akhiok is accessible by water or air only. The State of Alaska maintains a runway south of town. No crosswind runway or tower services exist and flights are often limited due to severe weather. There is also a floatplane harbor available. Akhiok does not have a deep water dock or boat harbor and no regular barge service is available. One company transports cargo via landing craft as needed. Alitak cannery possesses full docking facilities and residents are able to obtain supplies at the cannery store when the facility is operating. Otherwise, freight is most often moved by small personal craft from off-shore freight vessels or by air.