It depends where you are.
Southfork and Welsbury each make a great point about their areas.
In the area of the Midwest that I am from (northern Indiana) there aren't any creeks that are worth hunting. You have big, slow muddy rivers, or you have small slow muddy rivers. No meandering, gravel beds, or deep erosion, just dump truck quantities of silt covering everything. Aside from construction debris and modern riprap (loose rocks dumped there to control bank erosion) you won't find many rocks in the rivers. A 150 miles south and it's great.
In your area? It depends, the West is bigger than the East, so you'll likely have the range from great to nothing. Some areas of Washington & Oregon are among the best river hunting that has ever existed, some areas would land you in jail/fined out the wazoo, and many areas just don't have the right conditions to make creek hunting productive.