It covers two suburbs of George Town - Paya Terubong and parts of Air Itam - both at the centre of Penang Island.

[3][4] The Paya Terubong constituency encompasses the entire Paya Terubong suburb, as well as the southern part of the Air Itam suburb, specifically the neighbourhood of Farlim.

[5] It is partly bounded to the north by the Dondang River; the portion of Air Itam north of the river falls under the neighbouring Air Itam constituency.

To the south of the island's central valleys, the neighbourhood of Relau also falls under this constituency.

According to the federal gazette issued on 18 July 2023, the Paya Terubong constituency is divided into 11 polling districts.