Pshav-Khevsureti is located in northeastern Georgia along the northern and southern slopes of the Greater Caucasus Range. Its area totals 1,600 sq. km, including Pshavi – 560 sq. km, and Khevsureti – 1050 sq. km. It is the only region located on both slopes of the Greater Caucasus. Pirikita (Outer) Khevsureti, Arkhoti (the Asa River Valley), Guro-Shatili and Arghuni (the Arghuni River Valley) valleys are located along the northern slope. Piraketa (Inner) Khevsureti (the Aragvi Valley of Khevsureti) is located along the southern slope. Pshavi is located to the south of Piraketa Khevsureti, in the Pshavi River Valley.
Pshav-Khevsureti borders Tusheti to the east; Chechnya and Ingushetia (located in the Russian Federation) to the north; Khevi and Mtiuleti-Gudamakari to the west; and Mtiuleti to the south. Pshav-Khevsureti is surrounded by mountain ranges to the east and the west. The Kidegani Range, Chaukhi Massif, Gudamakari and Alevi Ranges lie to the west. Mutso, the Atsunda Range, Mount Borbalo and the Kakheti Range lie to the east. The region is characterized by a medium and high mountain landscape, and it encompasses mountain forest, subalpine, alpine sub-nival and nival zones. According to the administrative-territorial division, Pshav-Khevsureti is within Dusheti Municipality in the Mtskheta-Mtianeti region and includes the Barisakho, Shatili, Magharoskari and Ukana- pshavi Sakrebulos (municipal councils).