The present church was built between 1838 and 1841 to designs by Jacob Wilhelm Gerss, replacing a stone church that had stood on the site since the 1100s. It was originally a plain, light-filled building, though later decades brought additional embellishments, including the tall spire with its four smaller flanking towers.
From the earlier medieval church, a font dating to the early 1200s survives, attributed to the Gotland stonemason known as Calcarius and notable for its carved acanthus scrolls and small animal and human heads at the base. The church's large bell, known as the Maria bell, was cast in Lübeck in 1492 and brought to Borrby in 1520; it is said to be the largest church bell in the Österlen area and bears a relief of the Virgin and Child, an image also used on the parish seal. A smaller bell dates from 1617.
Wall paintings from the demolished medieval church were not preserved in the original, but watercolour copies of them are kept in the sacristy, offering visitors a glimpse of the earlier building's decoration.
The church is noted for its painted windows, produced by the Stockholm firm Neumann and Vogel between 1910 and 1912, depicting central themes of Christian faith. The altarpiece, a large oil painting known as Jesus kommer till byn (Jesus comes to the village), was completed by Mårten Eskil Winge in 1866.
Among the church's furnishings is a votive ship, a four-masted barque model rigged with square and staysails, hung above the south door in the nave. A medieval triumphal crucifix that once hung in the chancel arch has since been moved to the Historical Museum in Lund. The church's organ has been rebuilt and altered several times since 1841, most recently with a new instrument built between 2024 and 2026 incorporating the façade of an 1863 organ case.