Statistics Canada records the following places as being part of Middlesex Centre in 2011:[2] Arva, Ballymote, Birr, Bowood, Bryanston, Coldstream, Delaware, Denfield, Devizes, Duncrief, Ettrick, Fernhill, Ilderton, Ivan, Kilworth Heights, Komoka, Komoka Station, Lansdowne Park, Littlewood, Lobo, Lobo Siding, Lockwood Park, London, Maple Grove, Melrose, Middlesex, Middlesex Centre, Oriole Park Resort, Poplar Hill, Sharon, Southgate, Telfer, Uplands Subdivision, Vanneck.

The community is the home of Medway High School, Centennial Central Public School, Tamarak tree farm, Weldon Park, the Arva Flour Mill and store, The MillHouse (local, natural and organic foods), a furniture store, a tack shop, a post office, and two churches, as well as personalities such as the former mayor of the City of London, Ontario and former Member of Parliament for London North Centre Joe Fontana, President of University of St. Michael's College at the University of Toronto David Sylvester (academic), and Ben Dreyer, a famous area horseback rider, hunter, tanner, and first nation's skinner.

There is also a forest known as the sanctuary (in St. John's Estates); the bush runs along the creek and goes down into a camp site that at one time was quite popular.

It is estimated that immigrants from Scotland obtained land grants and settled as early as 1820 in Lobo.

Today Coldstream has an antique and quilt shop, elementary school (Valleyview Public School), fire hall, library, concrete business, conservation area and the Municipal Office for Middlesex Centre, as well as many volunteer organizations and events within the community.

Delaware has undergone modest growth in housing over the last 30 years, with the developed area nearly doubling in that time.

The track has also hosted major concert events in the past including I Mother Earth and Matthew Good.

Three telephone exchanges (NXX) are in operation for the Ilderton area, 519-666 (Bell) who provide traditional land-line services and DSL, 519-298 (Execulink Telecom) providers of Cable VOIP telephone services, and 226-308 (Quadro Communications - a co-op independent telecom).

The majority of the 16,000 residents of the Municipality of Middlesex Centre are identified as "Ilderton" in the telephone directories, with the exception of extreme southwest area of the Municipality (Komoka and Kilworth) who are assigned "London" telephone numbers out of the Hyde Park Exchange.

EMS/Ambulance Medical Services are provided by Station 14 in North West London, (approximately five minutes from Ilderton).

The village houses a seniors apartment complex, a restaurant, two convenience stores, two gas stations, and a garage, a DIY Car Wash, 24-hour fitness facility, three hair salons, florist, computer sales and repair business, a county library, medical centre, a nature trail, two pizza businesses, and three parks - one of which contains a splash pad for children, and numerous home businesses.

The fall parade can take over an hour to go by and the events at the fairground and arena entertain young and old alike all weekend.

During the winter Ilderton becomes a hub for snow-mobilers as there are several trails which pass through or close by plus the availability of fuel for both machines and riders.

Ilderton is the hometown of ice dancer Scott Moir,[4] who captured Gold with partner Tessa Virtue at the 2010 Winter Olympic Games in Vancouver, British Columbia.

The Komoka Park has two baseball and two soccer fields, tennis courts, and a children's play area.

There are two small business areas in the village: the downtown Komoka Foodtown and Post Office area, and the Glendon Drive / Komoka Road intersection with a bank, gas stations and variety stores, restaurants, and hair salon.

It also offers a YMCA fitness centre, walking track, two NHL size ice rinks, a library, meeting rooms, and an outside children's play area.

In partnership with Delaware and Mount Brydges, the three communities rotate responsibilities of hosting Canada Day celebrations.

[5] It is separate from Kilworth, which lies along Glendon Rd on the east side of the Thames River and is part of London.

It has no independent industry, no schools, no major grocery store, no banks, and only two small commercial areas, including child care, veterinarian, restaurant, and a gas bar.

Recent residential development in the western part of Kilworth Heights is responsible for much of Middlesex Centre's population growth.