The town is situated near the Yantra River, in the central Danubian Plain. Polski Trambesh's name means "Trambesh of the fields", to distinguish it from Gorski Goren Trambesh ("upper Trambesh of the forests") and Gorski Dolen Trambesh ("lower Trambesh of the forests") in Gorna Oryahovitsa municipality. It is not known when Polski Trambesh was established, but in 1865 it was a village of 40-50 houses populated by Bulgarians and Turks. The construction of the Rousse-Gorna Oryahovitsa railway boosted its development in 1917, the village turned into an important merchant centre and some industry was established after World War I. Polski Trambesh was proclaimed a town in 1964.