Best thing is to test your clothing choice out. Take a spill on purpose, at the launch, with warm clothes and blanket ready to go. Getting back onto your yak can be problematic with some clothing choices (ie I avoid baggy clothing).
I have a full goretex drysuit, works well but the ankle gasket leaves my feet exposed to the cold (I will eventually change them out to full on dry socks). I mostly wear this one when on rivers solo, as it is pretty toasty.
Majority of the time I use breathable stockingfoot waders and layer appropriately. For me, a jacket with good cuffs (velcro) is critical as I often get my hands wet, especially when handling fish. Spare gloves and hats are nice to have too.
Regardless, I always put my pfd on before carrying down to the launch (it adds insulation but also I am mostly like to fall while launching). I also always leave specific float plan and telephone when I get off the water (or as soon as I get in coverage).
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