[3] The municipality borders with Mapello on the north, Bonate Sopra to its south-west, and Ponte San Pietro on the east.

The surface of Presezzo comune covers a mostly flat area of 213 hectares (530 acres) in the central-western sector of the province of Bergamo, in the so-called Isola Brembana.

The core of the town is located at an elevation of 236 metres (774 ft), on the two sides of the modest Lesina torrent; the eastern part of the territory, known as Ghiaie di Presezzo, lies 20 metres (66 ft) below the main part of the town, the ground lowering toward the banks of Brembo River.

The Lesina torrent crosses the town from north to south 5 kilometres (3 mi) before flowing into the Brembo River.

The actual geomorphology of the area is chiefly due to the perpetual deposit of debris and material by the Brembo River and its tributaries descending from the Prealps located few kilometers to the north.

[4] The terrain is suitable for an agricultural exploitation, and for centuries provided subsistence to Presezzo inhabitants; nowadays, only a few part of the territory is still cultivated, most of the land being destined for urbanization.

The churchyard has recently been re-structured, paved and adorned with two olive trees Other important buildings are the Palazzo Furietti-Carrara, which overlooks the main street and is of seventeenth-century construction, restored between 1997 and 1999.

The churchyard has recently been re-structured, paved and adorned with two olive trees Other important buildings are the Palazzo Furietti-Carrara, which overlooks the main street and is of seventeenth-century construction, restored between 1997 and 1999.