The study investigated the physical environment and effectiveness on counselling practice in secondary schools in the Douala IV Sub Division of the Littoral Region of Cameroon. The objectives of this study were, threefold: to find out the impact of location of the counselling room on the effectiveness of counselling practice, to establish the extent to which the availability of logistics impact the effectiveness of counselling practice and to examine the extent to which beauty of the counselling room impacts the effectiveness of counselling practice. The descriptive survey research design was used for the study. A sample of 25 resident school counsellors was used to collect data. The purposive sampling technique was used to determine the sample. A questionnaire was used for data collection and the respondents were required to strongly agree, agree, strongly disagree, disagree and neutral. The data were analysed using the descriptive and inferential statistics. The main findings of the study revealed that the location of the counselling room on campus significantly impacted the effectiveness of counselling practice; the availability of logistics greatly impacted the effectiveness of counselling practice; and the beauty of the counselling room greatly impacted the effectiveness of counselling practice. It was thus recommended that the counselling room should be appropriately located to permit access and confidentiality, the necessary and appropriate logistics (psychometric tests, furniture, recorders, communication access gadgets, computer & accessories, etc.) should be provided to facilitate effective practice, and attention should be paid to the beauty of the counselling room because of its psychological and emotional impact on the clients.