Over half of the land area of the town is part of the Cape Cod National Seashore (the area shown in green on the map), established in 1961 by President John F. Kennedy, and administered by the U.S. National Park Service. The large impoundment of East Harbor (a.k.a. Pilgrim Lake) is a prominent feature while passing through on the main highway, Route 6.
North Truro is also home to Highlands Links Golf Course, Massachusetts's oldest links course. The course runs along the highland cliffs on the Atlantic coast, and encompasses the Highland Light.