The region includes the northwestern part of the main island of Malta.

XVI of 2009 out of part of Malta Majjistral.

XIV of 2019, which led to a regional reform in 2021, altered the region's composition and reduced its local councils from 12 to 9.

Northern Region includes the entire Northern District and parts of the Northern Harbour District and Western Districts.

Northern Region includes 9 local councils: After the 2021 local government reform, the region ceded 6 of its local councils to the Eastern and Western regions: The current Northern Regional Council (Maltese: Kunsill Reġjonali Tramuntana) is made up of:[2]