Because Hilltop is situated within major commercial corridors and facilities such as Via Christi Hospital are located nearby, mass transit is within walking distance for most residents. However, residents have mixed ratings of the efficiency of the local bus system, especially to access employment outside the neighborhood. A substantial number of residents do not own a private vehicle and are, therefore, dependent on public transit.

From a physical infrastructure standpoint, Hilltop has functioning, albeit aging, water and sewer systems. The water and sewer lines are old and should be replaced as redevelopment occurs. Major clearance of buildings and total redevelopment is not envisioned; however, selected acquisition and clearance of the most substandard and troublesome housing units will be needed. In these cases, the water and sewer lines should be replaced. Furthermore, the sewer and water line maps for Hilltop show the locations of some utility lines not in proper alignment with the lot lines and public right-of-ways. Replatting should also be a principal requirement of any redevelopment that occurs.

Drainage complaints have not been significant in the neighborhood. The area is not one of the drainage "hotspots" in the city. Stormwater runoff flows in a system under Terrace Avenue and then under Boston Street to the southeast toward Dry Creek.

The condition of local streets has been a concern to residents. The unpaved status and the lack of defined curbs give rise to irregular and unsightly parking patterns in the neighborhood. The lack of suitable areas for parking is also a major concern and needs to be a part of the street improvements. There are plans to pave and improve a number of the local streets in Hilltop in the near future. For example, Bayley Street was recently improved.

Finally, streetlights are needed according to residents. The area around Friendship Park in particular lacks enough lighting to deter vandalism and petty crimes.