The Tenryū River is the only river exiting Lake Suwa. It follows a generally southern course. The upper reaches of the river in the Ina Basin of Nagano Prefecture is a rich agricultural area. The river exits through a gap between the Kiso Mountains (Central Alps) and the Akaishi Mountains (Southern Alps), which forms the border between Shizuoka and Nagano Prefectures . This area is characterized by heavy rainfall (up to 3000 mm per year) and deep V-shaped valleys. Continuing south through Shizuoka Prefecture, the river drains a wide coastal plain noted for fruit and rice production. The city of Hamamatsu is near the river mouth at the Philippine Sea.