Highway 23 begins at Highway 7, east of Elginfield, a community straddling the boundary between the municipalities of Middlesex Centre and Lucan Biddulph. The route travels north through the latter, surrounded on both sides by farmland.
Highway 23 begins its journey from Highway 7, positioned east of Elginfield, a rural community situated at the intersection of Middlesex Centre and Lucan Biddulph municipalities. As it heads north, the highway is enveloped by vast fields of farmland on either side.