 The municipality borders with Mapello on the north, Bonate Sopra to its south-west, and Ponte San Pietro on the east.The surface of Presezzo "comune" covers a mostly flat area of in the central-western sector of the province of Bergamo, in the so-called Isola Brembana.The core of the town is located at an elevation of , on the two sides of the modest Lesina torrent; the eastern part of the territory, known as Ghiaie di Presezzo, lies below the main part of the town, the ground lowering toward the banks of Brembo River.