Madhyamgram is a four-way junction of Jessore Road (part of SH 12), Sodepur-Barasat Road and Badu Road. Madhyamgram station on the Sealdah-Hasnabad-Bangaon-Ranaghat line serves the town.

A rail overbridge opened in 2006 links the east and west sides. Private and government buses run through the town.

Taxis, rickshaws and toto e-rickshaws cover short hops to Sodepur, New Barrackpore and Barasat. Kolkata airport is around 15 minutes away.

Vivekananda College, a degree college, is in Madhyamgram. The Camellia Institute of Technology and the Camellia School of Business Management add engineering and management options.

BCDA College of Pharmacy and Technology has a campus here. Madhyamgram High School has won the Subroto Cup, the all-India inter-school football tournament, seven times, including a hat-trick from 1981 to 1983.

Effective literacy in the 2011 Census was 89.6 percent.

Star Mall on Jessore Road opened in 2008 and has 237,000 sq ft of gross leasable area. It is the main shopping and leisure destination in the town.

Madhyamgram falls under the Kolkata Metropolitan Development Authority area and is run by Madhyamgram Municipality. The Jessore Road corridor has Narayana Hospital, Bengal Neuro Institute Hospital and Heartland Hospital.

Madhyamgram Rural Hospital and Jeevan Arogya Hospital are on Badu Road, and Madhyamgram Matrisadan Hospital is on Sodepur Road.