[4] The parish lies along the north-east side of The Haven and accommodates the Pilgrim Fathers Memorial at Scotia Creek.

Fishtoft has a school, an Anglican church, a shop (at Hawthorn Tree Corner), and football and cricket clubs.

The 18th-century Reading Room, a red brick building just off Rectory Close, is now a private house – it was for many decades used as a centre of learning and education.

The parishes along the coast of the Wash had no eastern boundaries, and were continually expanding as new land was reclaimed from the tidal marshes.

There was also a small medieval wayside chapel on the western side of Church Green Road, the site indicated by a significant elevation of ground just north of the bungalow opposite The Grange.

[8] The arrangement of religious buildings in medieval Fishtoft has given rise to speculation that the village may have been the centre of a cult of St Guthlac based on what is now the parish church, the monks of the priory cell helping to minister to the cult, and the wayside chapel in Church Green Road acting as a "slipper chapel" for pilgrims approaching the village along the permanent road from Boston.

There was a separate hamlet in the parish called Fenne,[10] dating back to the 13th century,[5] in the area that later contained the Ball House Inn, Rochford Tower and Hawthorn Tree Corner.

An important feature of the parish is the Hobhole Drain, constructed in the 19th century for land drainage purposes, which enters the River Witham near the Pilgrim Fathers Memorial.