The town has a generally east-west orientation and is centred on what used to be the main Edinburgh-Stirling road; this now forms the main thoroughfare called the High Street. Plots of farmed land, known as rigs, ran perpendicular to the High Street and comprised much of the town's development until the 19th century. Growth was restricted to the north by Linlithgow Loch, and by the steep hill to the south, but, in the late 19th & early 20th centuries, development began to take place much further south of the High Street. In the late 20th century, demand for housing saw many residential developments take place much further south, as well as spreading into new areas. This southward development was bisected by the Union Canal and latterly the main Edinburgh-Glasgow railway line, and today the limited crossings of both cause problems with modern traffic as there are only three places where each can be crossed in the town.

To the west, Linlithgow Bridge used to be a somewhat distinct village with its own identity, but in the latter half of the 20th century it was enveloped in the expansion of the main town and today the distinction between them is hard to make out.

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