MD 53 begins at an intersection with US 220 (McMullen Highway) in Cresaptown. Winchester Road continues south as a county-maintained highway toward
Pinto. MD 53 begins as a
one-way street headed southbound. The state highway becomes two-way at its intersection with Brant Road, which joins the one-way street southbound. MD 53 receives northbound traffic from US 220 via
MD 636 (Warrior Drive). Southbound traffic approaching the intersection of MD 53 and MD 636 may use either state highway to access both directions of US 220. MD 53 continues north from MD 636 as a two-lane undivided road that crosses Warrior Run. MD 53 continues north along the western flank of
Haystack Mountain, crossing Winchester Run a few times and intersecting both ends of
MD 951 (Vine Street), the old alignment of MD 53. The state highway expands to a four-lane
divided highway as it passes to the west of
Country Club Mall. After an intersection with
MD 658 (Vocke Road), MD 53 turns northwest and passes under
Interstate 68 (I-68, National Freeway), with the only direct access an entrance to eastbound I-68. The state highway then meets its northern terminus at an intersection with US 40 Alternate in La Vale. Access to westbound I-68 is provided a short distance to the east on US 40 Alternate. MD 53 is part of
US 220 Truck, which provides access from I-68 west of La Vale to southbound US 220 for trucks due to a truck prohibition on the eastbound exit ramp for I-68's interchange with US 220. The state highway is part of the main
National Highway System from US 220 to I-68; in addition, the portion from I-68 to US 40 Alternate is a National Highway System principal arterial. ==History==