The Big Sandy River is a tributary of the Ohio River, located in the eastern United States. It flows through parts of Kentucky, West Virginia, and Virginia, covering a distance of approximately 120 miles. The river is known for its scenic beauty and serves as a natural boundary between several counties. The Big Sandy River is formed by the confluence of the Levisa Fork and the Tug Fork. It plays a significant role in the local ecosystem and supports various wildlife species. The river also has historical importance, as it was a key transportation route in the region during the 19th century.