The Bristol, Virginia-Tennessee Metropolitan Statistical Area (MSA) is a region that straddles the border between Virginia and Tennessee. It includes the cities of Bristol, Virginia and Bristol, Tennessee, which are often referred to collectively as "Bristol." The area is known for its rich history, particularly in country music, as it is home to the famous Bristol Rhythm & Roots Reunion festival. The MSA has a diverse economy, with key sectors including healthcare, manufacturing, and retail. The region offers various recreational opportunities, such as hiking and fishing, thanks to its proximity to the Appalachian Mountains and South Holston Lake.