PA 251 begins at the Ohio state line in South Beaver Township, where the road continues west into Ohio as SR 154. From the state line, the route heads southeast on two-lane undivided Blackhawk Road, passing through forested areas with a few fields. PA 251 intersects PA 168 and continues east through more rural areas. Farther east, residential development near the road increases and it enters Chippewa Township, heading east-northeast. In this area, the route passes to the south of Beaver County Airport before it makes a turn southeast onto Darlington Road. PA 251 enters commercial areas, turning north onto Shenango Road and intersecting PA 51. Past this intersection, the route passes more development, turning east onto Oakville Road. Here, the road passes through wooded areas of homes, coming to a bridge over I-376. From this point, PA 251 becomes 37th Street Extension and passes more residences, entering the borough of West Mayfield. The road continues east through residential portions of the borough and enters commercial areas. Upon passing over Norfolk Southern's Fort Wayne Line, the route crosses into the city of Beaver Falls and becomes 37th Street, heading through residential and business areas before ending at PA 18.[3][4]