Totma is a small city and so all of its sights are located within walking distance from each other. Much of the centre is laid out in a grid system with Ulitsa Belousovskaya and Ulitsa Voroshilova being the principle vertical streets and Ulitsa Lenina and Ulitsa Sovetskaya being the principle horizontal streets. The central square is Togovaya Ploschad (Trade Square). All around the city are pretty wooden houses, including some two-storey wooden estate houses.
Just outside the city are two villages worth visiting. The Former Spaso-Sumorin Monastery is located in Lesotekhnikuma which can be reached by walking up Ulitsa Babushkina and the Resurrection Church in Varnitsy can be reached by walking up Ulitsa Voskresenskaya. Both journeys take about 15 minutes on foot from the centre of Totma.