It runs from Riceboro to the Hinesville – Fort Stewart metropolitan area and curves to the northeast, through Pembroke and Springfield, and enters South Carolina north of Clyo, where the roadway continues as South Carolina Highway 119.

SR 119 begins at an intersection with US 17/SR 25 (Ocean Highway) in Riceboro, in Liberty County.

The roadway curves to the northeast to cross over the Canoochee River, which marks the Liberty–Bryan county line.

A short distance later, the route crosses the northern border of Fort Stewart.

North of the fort, SR 119 intersects US 280/SR 30/SR 67 (Bacon Street) in the town of Pembroke.

It heads northwest less than 2 miles (3.2 km), and then intersects SR 119 Connector and travels northeast again.

SR 119 gradually curves to the north, passes through the town of Clyo, and meets its northern terminus, the South Carolina state line at the Savannah River.

The highway curves to the northwest until it meets its northern terminus, an intersection with SR 119 Connector, a brief distance later.