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Due to the bad road condition, the village is best reached by boat from Tulear, which usually take about one hour. During low tide, the transfer begins with a short oxcard oxcart ride onto the seabead to reach the pirogue or motorboat. The various hotels in Anakao provide a transfer which can be booked in Tulear harbour from where the boat leaves.

A few basic hotels are strewn over across the coastline of the village. These are mostly beach huts, providing a “life on the beach” experience to visiting tourists. Early in the morning countless pirogues can be seen leaving the direction of the open ocean for fishing and returning until they return like small sailing regattas with their catch in the afternoon.

The small uninhabited islands of [[Nosy Ve]] and [[Nosy Satrana]] are located just outside of Anakao which and are popular destinations for day visitors. Both islands can reached by a short pirogue ride from the mainland.