Stretching just over 406km from Perak's border with Thailand, Kelantan and Perak and ending in the Straits of Melaka, Perak River is the longest in the Peninsula. The river played an important role in the history of the state.

The first Sultan of Perak the with title of Paduka Seri Sultan Muzzaffar Shah I came to the state from Indonesia through Beting Beras Basah, a village at the mouth of the river in the early 16th century. This waterway became the focus of political, cultural, social and economic activities. In the 19th century, the river played a crucial role for transporting the ore. The discovery of tin also contributed to an economic boom, and today one still sees major towns of Perak situated along the river. They include the Royal Town of Kuala Kangsar, Manong, Teluk Intan and Bagan Datoh.

There are four hydropower dams straddling the Perak River at Temenggor, Bersia, Kenering and Chenderoh. Canoe expeditions are a regular feature along the Perak River, and are mostly organised by the Perak Foundation. Several picnic sites can also be found at scenic riverside spots, and jungle trekkers enjoy the lovely waterfalls at the upper-forested reaches. The Perak River is today an active part of the lives of the people of Perak as well as tourists.