Air transport is most frequently used to reach Ekwok. Regular and charter flights are available from Dillingham. The state-owned gravel runway was rebuilt and lengthened in 2005. Float planes land on the Nushagak River. Cargo is brought in during ice-free months from Dillingham by Coastal Marine Transport barge service. There are no docking facilities, but a barge off-loading area exists. Skiffs, ATVs, and snow machines are used for local transportation to other villages. As of May 2014, the city was in the process of building a new road to the new landfill site, contingent on funding for a bridge.