The city is located on the Adriatic Sea and offers a wide choice of accommodation and entertainment both for Italian and foreign tourists. Famous also for its long, flat sandy beach where on September 7, 2019, more than 30,000 fans attended the Jova Beach Party. Montesilvano offers great sea-food restaurants and many restaurants that serve Arrosticini. Montesilvano is located a short drive from numerous skiing resorts. Strategically connected to a highway that can take you to Rome in 2 hours, Venice in 5 hours drive. Also close to the Liberi Airport and a high-speed train station that can take you to Milan in 4 hours on a Freccia Rossa at a cost of 15 euros. At Pescara train station you can also find busses that take you to Rome's airport at a cost of 24 euros.

Montesilvano is situated immediately north of Pescara, to which it is physically connected. Montesilvano is divided into Montesilvano Marina and Montesilvano Colle. The first is the lively, crowded seaside resort; the second the original medieval comune and citadel. The mouth of the Saline river is directly north of the town.