The tow hitch typically consists of a sturdy metal frame with attachment points designed to secure the bicycle in place. It may feature adjustable elements to accommodate different bike sizes and styles. Some tow hitches incorporate safety features such as straps or locks to ensure the bike remains securely attached during transport.

When using a bicycle tow hitch, it's essential to ensure that both the hitch and the bike are properly installed and secured to prevent accidents or damage to the vehicle, bike, or other road users. Regular inspection and maintenance of the tow hitch are also important to ensure its continued reliability and safety during use.