It primarily connects the northwestern part of Tokyo and the Tokyo Gaikan Expressway to Saitama and the Saitama Shintoshin Route which serves the central part of that city.

From this southern terminus, it travels northwest out of Toda, crossing in to the southwestern part of the city of Saitama.

Due to this, all of the interchanges along the expressway, aside from the one at its southern terminus at Bijogi Junction, have incomplete access since drivers can continue along the frontage road and eventually find an entry point to the expressway.

[3] In preparation for increased congestion during the 2020 Summer Olympics, new traffic-control systems were installed along many expressways in the Tokyo area.

The only instance of further controls being installed along the expressway was at its northern terminus at Yono Junction[4] The route lies entirely within Saitama Prefecture.