The property includes the only monorail in Hawaiʻi, the only emergency clinic located on mall property (Pali Momi Medical Center), and an eight-story office complex (Pearlridge Office Center).

When Pearlridge Downtown opened, it was also anchored by Hawaii's first Daiei store and Fun Factory location.

In 2004, after JCPenney shut down in Hawaii, the space formerly occupied by the anchor was converted into part of the mall.

In 2018, Pearlridge Downtown was renovated which included the closure of Fun Factory, and the addition of shops like Uncles Grill.

Pearlridge primary anchor tenants include: Macy's (formerly Liberty House) and, until 2021, Sears.

There are over 170 stores and restaurants with two food courts, and a movie theater complex with sixteen screens.

[5] Originally, Pearlridge West was anchored by a Star Markets supermarket but was closed in 1994 to become a Circuit City.

Near Uptown is Fuji Sushi and Teppanyaki, while Downtown hosts Chili's, California Pizza Kitchen, and Big City Diner.

Connecting both Uptown and Downtown, it provides a unique transport and a notable focal point of the center.