The town as a whole, uniquely in Surrey, has three railway stations; Pixham adjoins or is the location of two of the three; and is near the junction of the A24 and A25 main roads.

Until 1910 watermills principally for corn grinding and for fulling at Pixham Mill operated, however its agricultural land has been converted to other use.

The village is at the steep foot of the Box Hill stretch of the North Downs, on gently facing slopes leading up to the town of Dorking itself.

[2] No mention is made of Pixham in Domesday Book, but evidence of Roman occupation, including coins, tiles and pottery shards, was discovered on the site of the Friends Provident Sports Ground in 1980;[citation needed] the adjoining road is part of the original line of one of the (Roman) Stane Streets in England.

[3] Giles Green which is no longer visible, north of the Pixham End building by the A24 London Road had the Cock Inn and the Dorking Tollgate with a milestone.

The main land use is residential, the other large businesses being Betchworth Park Golf Course and The Watermill Inn directly to the south and a waste water treatment works on the eastern boundary.

Due purely to its architecture not its age is ranked above the other three listed buildings in the village in the mid-category rather than starting level category at Grade II*.

[12] This four-storey red brick, early 19th century mill has some of its machinery intact, however appears to have been defunct by 1912[6] and is a private house.

Dorking Deepdene station in Pixham has trains between Reading, Berkshire and Gatwick Airport, see the North Downs Line.