 The boroughs of Confluence and Ursina are located at the southern end of the township.Lower Turkeyfoot Township is bordered by Upper Turkeyfoot Township to the east, Addison Township to the southeast, and Fayette County to the west.Laurel Hill Creek flows through Lower Turkeyfoot Township, with tributaries such as Cranberry Glade Run, May Run, and Licking Run joining its stream before it enters the Casselman River in Confluence, just before the Casselman River flows into the Youghiogheny River.