Midlothian is located 2 miles (3 km) southwest of Frostburg and is adjacent to Exit 33 of Interstate 68.

The community sits along the eastern base of Big Savage Mountain.

There was a source of carbonate iron ore on the hill to the northeast, tapped by a tram road.

The Juniata Lumber Company established a circular sawmill in Midlothian, at the end of a 3-foot gauge line that extended 12 miles into Garrett County along Big Savage Mountain.

Twenty-five thousand board feet per day of railroad ties and dimensioned wood were produced at peak production.