The church was built as a typical Romanesque structure of chancel, apse and nave in the late 1100s, with vaulting and a south porch added in the 1400s. The nave was extended westward in 1833. Unusually for a church in Skåne, it has no tower; instead a freestanding wooden bell-frame, built in the eighteenth century, stands nearby.
The most celebrated survival is the painting in the chancel arch vault, dated to the second half of the twelfth century. It depicts two figures connected with the church's construction, though sources differ on their names and relationship: one account names them as Ucitus and Hialmvith, with an accompanying inscription describing Ucitus commissioning the decoration in memory of the deceased Hialmvith; another version names them as the nobleman Hugitus and his wife Hialmsvith, commemorated by him. Either way, the painting is thought to have been made between about 1150 and 1200.
Later medieval paintings, attributed to the so-called Fjälkinge Master and dated to around 1475, cover the vaults of chancel and nave. They include a Last Judgement scene with Christ enthroned on a rainbow, the blessed entering heaven and the damned cast into the mouth of hell; the three sainted Nordic kings Olav, Knud and Erik, reflecting the era of the Kalmar Union; Skåne's patron Saint Lawrence with his gridiron; and a wheel of fortune symbolising the fleeting nature of worldly happiness. These paintings were whitewashed over during the Reformation and only rediscovered and restored during renovation work in the early 1950s. The chancel vault also carries depictions of the four archangels.
Among the furnishings, the altarpiece is attributed to the sculptor Gustav Kihlman and dated to 1704, showing a crucifixion flanked by Moses and John the Baptist. A north-wall altar cabinet, made in northern Germany around 1510, once carried rich polychrome decoration, of which only fragments of gilding and red pigment now remain. The Renaissance-style pulpit and font both date from the late seventeenth century. During restoration in 1952 a small relic cavity was found within the altar, said to date from the church's original consecration. A wooden calvary group, thought to date from around the mid-thirteenth century and once positioned in the chancel arch before being removed at the Reformation, is now kept at Lund University's historical museum.
The church's organ, built in 1952 by Grönlunds Orgelbyggeri, replaced an earlier harmonium and was itself renovated in 1985.