Elk Grove Trail has a total elevation difference of 2,030 feet which is an average number. Of course, this is an overnight backcountry walk, 2 days normally, so it's an excellent thing if your backpack is big enough to do the job. Elk Grove Trail is quite long, so make sure you bring plenty of supplies. This region does get very dry sometimes, so do check for current fire restrictions before you go if you plan to bring a stove or make a camp fire. Some parts of Elk Grove Trail are much higher up than other parts of the hiking and backpacking trail which of course means you need to be prepared for different conditions on different parts of the hiking and backpacking trail. With its 12.2 miles of walking distance; it's a long hiking and backpacking trail. There is only one trailhead, so you're looking at an in and out backcountry trek.