[3] Most of the population lives in the flat northern part of the region, on the edge of the Ferghana Valley.

In the east, the land rises to the Ferghana Range, roughly parallel to the Naryn border.

At Sary-Tash a branch goes east to the Chinese border crossing at Irkeshtam.

The other main road goes west through the flat country to Batken Region.

This is the tiny village of Barak (population 627) in the Fergana valley, located on the road from Osh (Kyrgyzstan) to Xoʻjaobod (Uzbekistan) about 4 km north-west from the Kyrgyz–Uzbek border in the direction of Andijan.