It runs from the northern limit of the city of Winnipeg (where it meets with Route 90/Brookside Blvd.)

The highway is twinned from Winnipeg to just north of PTH 67, an east-west route that provides access to the Town of Stonewall.

[3] PTH 7 crosses into the Rural Municipality of Armstrong at an intersection with PR 229 in the community of Komarno, and continues traveling due northward to pass through the hamlets of Fraserwood, where it has a concurrency with PR 231, Meleb, and Silver before entering the Municipality of Bifrost - Riverton.

It enters the town of Arborg shortly thereafter and comes to an end at an intersection with PTH 68 just southeast of downtown, near the banks of the Icelandic River.

[4] PTH 7 first appeared on the 1928 Manitoba Highway Map as a short feeder route connecting Stonewall and Winnipeg.