It has one pair of green oval leaves 2 to 7 cm long near the base of the stem.

Each has 3 reflexed lance-shaped sepals, 2 similar petals, and a lobed, wedge-shaped labellum that measures 9 to 13 mm long.

[4] Neottia convallarioides can be found in moist habitats such as woods, forests, swamps, and streambanks.

It is native to much of Canada and in parts of the United States (Alaska, the Great Lakes Region, New England, and the mountains of the West: Rockies, Cascades, Sierra Nevada, etc.).

It also reportedly occurs in St. Pierre & Miquelon and on the Komandor Islands in the Bering Sea, part of the Russian Far East.