Much of its length runs adjacent to the north shore of Lake Winnipegosis.

21 at an intersection with PTH 10 (Northern Woods and Water Route) just a few kilometers north of Overflowing River Provincial Park.

It winds its way southeast through remote wooded terrain for several kilometers, where it begins running on the northern coastline of Lake Winnipegosis, as well as traversing the Isthmus between it and Cedar Lake.

19, the highway leaves the isthmus, though still running along Lake Winnipegosis, and enters the Chemawawin Cree Nation.

Prior to PTH 60's designation in 1987, from the Easterville turn off eastward, the highway was a part of PR 327 which dates back to 1966.