The historic center has preserved its medieval structure almost intact, with tuff houses, narrow alleys and stairways carved into the rock; at the top of the cliff is the 13th-century Orsini Fortress, which houses the Archaeological Museum and offers a breathtaking view of the valley. Other reminders of the past include the Pieve di Sant'Antonio Abate, the Church of Santa Maria delle Grazie, and the Palazzo Pretorio.

Sorano's economy is based on agriculture, particularly the production of wine, oil, cheese and cured meats: fine wines such as Morellino di Scansano and Aleatico dell'Elba are produced in the area, while the olive groves and pastures also encourage the production of extra virgin olive oil and pecorino cheese. The natural landscape, rich in gullies, woods and tuff quarries, offers interesting nature and archaeological itineraries.

Sorano is part of the "Borghi più Belli d'Italia" circuit, and in the summer hosts events such as "A tu per tu con la terra," dedicated to local wines and products, and "DAI - Concerts at Sunset," with music spread throughout the evocative setting of the medieval village.