It borders the parishes of Michael and Lezayre in the north, German, Marown and Onchan in the middle and Santon in the south.

The southern end is flatter and includes the village of Union Mills and nearby residential areas bordering Douglas to the west and north-west.

The Middle River runs through the parish in the Kewaigue - Oakhill area in the south, where the original Fairy Bridge can be found.

Hampton Court House, near Port Soderick, was built c. 1800 by Thomas Stowell, a leading Manx advocate who became acting Attorney General in 1796 and Clerk of Rolls in 1804.

On 1 November 2012 an area between the Middle River and Douglas Head was transferred to the parish of St Matthew, and an area between Mount Murray and Port Walberry, including part of the Mount Murray estate, Port Soderick and Quine's Hill, was transferred to the parish of Santan (now Malew and Santan).