Emergency medical services are provided by the Fitch-Rona EMS district, which also serves the neighboring city and town of Verona.

Various portions of Fitchburg are served by municipal sewer, water and natural gas utilities.

The B route serves the High Ridge Trail area with service to Downtown Madison towards Northport.

Route D2 serves the west side of the city with service to Downtown Madison and the Dane County Regional Airport.

Route G serves the Southdale neighborhood with connections to the South Transfer Point and the East Side of Madison.

Route 65 provides peak hour commuter service from Downtown Madison and the UW Campus to Terravessa and Fitchburg Center neighborhoods.

Route 75 provies peak hour commuter service linking Fitchburg to the Capital Square to the east, Verona and the Epic campus to the west.

Fitchburg will be served by the future Metro Bus Rapid Transit system along the "north-south" route, stations are planned for Greenway Crossing, Post Rd, Cahill Main and the south terminus at McKee Road, this service is expected to start by 2027.