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Tororo District is bordered by Mbale District to the north, Manafwa District to the northeast, the Republic of Kenya to the east, Busia District to the south, Bugiri District to the southwest and Butaleja District to the northwest.

The 2002 national census estimated the population of Tororo District at 398,600 with an annual population growth rate of approximately 2.7%. It is estimated that the population of the district in 2010 is approximately 493,300.