The region is in the north of the country. It has an area of 3,755 km². As of the 2012 census, 107,416 people lived there. It borders the Atlantic Ocean to the north, the region of Demerara-Mahaica and Demerara River to the east, the region of Upper Demerara-Berbice to the south and the region of Pomeroon-Supenaam to the west.