Groundwater fluxes to many surface water systems are spatially heterogeneous with discharge focused into discrete, high-flux zones. Quantifying fluxes in these preferential discharge zones is critical to a range of surface water habitat and water quality processes, but characterization can be difficult due to short-scale spatial and temporal variability. Passive heat-as-a-tracer methods employing vertical temperature profiler (VTP) data can provide the necessary spatial and temporal resolution, but upward fluid flow strongly attenuates the thermal signals used for estimating fluxes. In preferential discharge zones it becomes difficult to measure the signals in the subsurface and the flux parameter can become insensitive in the analysis models, leading to large uncertainties. We use data from a high-flux site of contaminant-loaded groundwater discharge to the Quashnet River on Cape Cod, Massachusetts, USA, to demonstrate how recent advances in VTP instrumentation that allow for the acquisition of high-resolution (0.001 °C) temperature data at short (1 cm) offsets near the ground surface, combined with advances in flux estimation methods that exploit the information content of the high-resolution data, facilitate heat-as-a-tracer approaches for characterizing groundwater-surface water exchanges and make it possible to obtain accurate and statistically robust results in a preferential discharge zone with a specific discharge of ∼1 m/d.