Larkhall lies on the edge of the scenic Clyde Valley between the River Clyde and the Avon Water. Larkhall's name is thought to have grown from the Gaelic "Laverockha" meaning "lark on the hill." The area was known as Machanshire and later Dalserf, in the early 14th century and Larkhall wasn't in common usage until the 1900's.
In the past the main industry in Larkhall was weaving, during the 17th and 18th centuries, the old part of the town features original weavers' cottages.
There are several small villages surrounding Larkhall, including Netherburn, Ashgill and Dalserf. The Old Parish Church in Dalserf was erected in 1655 and was renovated in the 1970s. Netherburn is a lively and close-knit community near to Larkhall and down the Avon Gorge from Larkhall is Millheugh.
Millheugh was once a popular site for fruit growing, especially crops such as apples, pears and plums. The area also boasts its own ghost, the Black Lady who is said to haunt the Applebank Inn.