Rivers of Perm Krai belong to the Kama River Basin, the largest tributary of Volga River. There are more than 29,000 rivers in Perm Krai. The total length of all rivers is more than 90,000 kilometres (56,000 mi).

Only two rivers in Perm Krai have lengths exceeding 500 kilometres (310 mi). They are the Kama River at 1,805 kilometres (1,122 mi) and the Chusovaya River, 592 kilometres (368 mi).