The present building is a single-nave hall church with a three-sided chancel, its exterior smooth-plastered and whitewashed. When excavations and renovation work took place in the 1930s, fragments of an older stone altar were uncovered, leading historians to believe the earlier church on this site was built largely of wood. Around 1639, when the church became the main parish church for Lundby and Tuve, a porch and sacristy were added to the south side, and the medieval stone vaults were eventually replaced with a wooden ceiling.
A free-standing, irregularly hexagonal wooden bell tower stands to the south of the church. Its bell was donated to the parish in 1634. Inside, the Renaissance-style altarpiece and pulpit date from the same building campaign around 1639: the altarpiece depicts a Golgotha scene flanked by figures of Peter and John, with the Last Supper above, while the pulpit carries the four evangelists with their traditional symbols. A niche beside the altar, which once held a wooden door for storing consecrated communion bread in Catholic times, now displays a statue of the Virgin Mary added during the 20th century.
The green soapstone font, dated to around the mid-13th century, is thought to have come from the earlier wooden church, making it older than the present building itself. Overhead, the wooden ceiling includes painted boards rediscovered in the church attic during the 1934 renovation, attributed to the church painter Erik Eriksson Grijs and probably dating from the late 17th or early 18th century; further angels were added at that time in matching style. Three chandeliers hang in the nave, two said to originate from the fortress church at Älvsborg, though the origin of the crystal chandelier at the front is unrecorded. The walls carry memorial tablets and coats of arms of local families, including the Cronacker, Stålhandske and Giertta families, the last rediscovered damaged in the sacristy during the 1934 works and later restored. The north side of the church originally had no windows, possibly reflecting an old belief that evil came from the north, or simply a wish to keep out the cold wind; the present north windows date from the mid-19th century.
The organ gallery, added in the 18th century, has a painted front depicting Christ and the apostles, removed and later reinstated after a 19th-century side gallery was built and subsequently demolished. The church's first organ, installed in 1818, proved unsatisfactory and was replaced within a few years, though its case was retained; the current organ dates from 1969.
After Lundby nya kyrka opened in 1886, regular worship largely moved away from this older church, and there was discussion of demolishing it, averted through local intervention. Renovations followed in the 1930s and again in 2023, when the interior paintings and fittings were conserved. The church continues to be used for baptisms, weddings and funerals, and for a meditative service held on Sunday evenings.