Much of Middle Lake Hamilton's north and northwest shore is bordered by a residential area, which is partly inside Winter Haven.

The entire shore from the southeast around to the southwest is bordered by the Lake Region Mobile Home Park.

It is directly connected by canal to connected by canal on its west side to Lake Hamilton (Florida) and on its west side to Little Lake Hamilton.

However, for a number of years the water level in the canal to Little Lake Hamilton was so low or even nonexistent that it was impossible to get to Little Lake Hamilton by boat.

Boats can easily navigate the canal leading from Lake Hamilton.