Created in 2007, the ward initially elected four councillors using the single transferable vote electoral system and covers an area with a population of 16,547 people.

Following the 2022 election, the ward has been the seat of the leader of South Lanarkshire Council, Cllr Joe Fagan.

[2] The ward was created following the Fourth Statutory Reviews of Electoral Arrangements ahead of the 2007 Scottish local elections.

As the name suggests, East Kilbride Central North covers the parts of East Kilbride just north of the town centre with the southern boundary being the Queensway (A726) dual carriageway, including the central retail and administrative area itself as well as the neighbourhoods of East Mains, Kirktonholme, the Village and West Mains, most of St Leonards (west of High Common Road) and part of Calderwood (Maxwellton/west of Calderwood Road).

Although this only had a small effect on the electorate, it caused the loss of one seat from the original four to balance with other wards with similar populations.