There is the former Tokai-do Road running near the north end of Higashiyama Ward, as well as the JR Tokaido Main Line, Tokaido and Sanyo Shinkansen, National Route 1 running in the east-west direction, and there is Keihan Electric Railway Main Line (mostly underground) and Higashioji-dori Street running in the north-south direction.
区の北端近くを旧東海道が通り、東西方向にはJR東海道本線、東海道・山陽新幹線、国道1号、南北方向には京阪電鉄本線（大部分は地下化）、東大路通りなどが通じる。