This species is the most poisonous plant in the Western U.S. It prefers wet sites and is often found along the margins of lakes, streams, and irrigation canals. The tuberous root is divided into many small hollow chambers. The leaves are divided into fairly uniform leaflets, and the veins run to the notch between the teeth of the margin. Western waterhemlock is very similar to spotted waterhemlock (Cicuta maculata) which can be distinguished by the cells formed by the small veins on the underside of the leaf. These cells are round or square in Cicuta maculata and elongate in Cicuta douglasii.