The District has an appreciable undulating high and low lands with the highest point being at Adeiso which rises to about 500m above sea level. It has River Ayensu as the main river that drains through from Ayensuano District in the eastern part of the district to join the Central Region in the west. The district has high forests that are rich in timber and other forest products. The presence of the forest makes it possible for the district to experience double maxima rainfall throughout the year. The district is also endowed with rich soils which make it suitable for farming activities. There are several highways such as Nsawam- Kade, Mepom-Swedru and Adeiso-Kasoa highways that pass through the district which makes it accessible from both the southern and northern parts of Ghana.