Mount Sanford is mainly composed of andesite, and is an ancient peak, being mostly Pleistocene, although some of the upper parts of the mountain may be Holocene. The mountain first began developing 900,000 years ago, when it began growing on top of three smaller shield volcanoes that had coalesced. Although obscured by icefields, the uppermost of the mountain appear to be a lava dome filling a larger summit crater.