The coast of this parish consists primarily of sand beaches with palm trees, most notably the 3-mile long Pinney's Beach, which is often considered to be the best beach in the Federation. Behind the sandy coastline are several small lagoons, including the freshwater lagoon of Nelson's Spring, which is next to the village of Cotton Ground. Some of the island's most important hotel developments are located in this area, including the Four Seasons Resort Nevis.
There are a few hills by the coast, including the small but steep hill at Cades Point, a weathered remnant of an ancient volcanic core. Further inland, many small villages and homes are located on the gently sloping landscape.
As one moves further and further east (inland) the land rises in elevation and the vegetation becomes lusher as the steeper slopes of Nevis Peak are reached. The Nevis Peak summit is the Parish's interior land boundary.