[5][6] The first villages or barrios of Visita de Cauit were Pag-alad, Cangumba, Mabolo or San Roque, Canjalon, España or Canago, Agtiwa, Cangumon and Otod.

After Romblon was made a separate district in 1853, and the local government reorganization of 1855, 17 new pueblos were created including Visita de Cauit.

However, by the end of the year, the seat of the municipality was transferred from Azagra to San Fernando village, thereby, changing the town's name.

A massive search-and-rescue, and then recovery and salvage operation, took place in the waters of San Fernando to remove remaining dead bodies and potentially dangerous cargo from the sunken ship.

The municipality has high and steep mountain ranges as it is located at the foot of Romblon's tallest peak, Mount Guiting-Guiting.

Much of its territory is part of Mount Guiting-Guiting Natural Park made up of lush tropical rainforest where unique flora and fauna thrive, giving Sibuyan the nickname, "The Galapagos of the Philippines".

Poverty incidence of San Fernando Source: Philippine Statistics Authority[16][17][18][19][20][21][22][23] The municipality has various establishments including general merchandise stores, construction and welding shops, furniture outlets, funeral homes, rice mills, bakeshops, catering services, and one cable TV station.

The Sibuyan Sea and Cresta de Gallo serve as a fishing grounds due to its abundant marine animals like mackerel, sea quartz, tuna, dilis, tanguigue, lapu-lapu, and tropical fish to name a few.The Agriculture sector of San Fernando is Mainly Rice and Corn Planting.

From Azagra jeepneys and tricycles are always available to carry passengers to town center or to the other places on the island when a ship is scheduled to arrive.There are also plans to open charter flights in Azagra Airstrip in the Town.There are also pumpboats that docks in the port of the town centre going to Roxas City.There are also pumpboats travel from agatiwa to Romblon Island PLDT offers telecommunication services in San Fernando.

The San Fernando branch of Romblon State University offers a number of tertiary education courses for the local residents as well as students coming from all over the island.

Because of its untouched mountainous landscape, several rivers,springs,falls, and freshwater lakes can be found in San Fernando.

Pursuant to Chapter II, Title II, Book III of Republic Act 7160 or the Local Government Code of 1991,[24] the municipal government is composed of a mayor (alkalde), a vice mayor (bise alkalde) and members (kagawad) of the legislative branch Sangguniang Bayan alongside a secretary to the said legislature, all of which are elected to a three-year term and are eligible to run for three consecutive terms.