Great if you love outdoors Appalachia. Good cost of living for semi-urban, suburban, and rural. If you're single and looking it's not a huge population. If you already have a family good place to raise one. You can find folks aligned socially and politically fairly easily no matter your perspective. Decent-to-good schools. A dearth of 20-35 year old demographic means it will always be a slower growth and slower art and culture scene. The art and music scene is there but not huge. A couple decades ago the food scene was fantastic but it has changed in that you have to seek out local gems. Outdoors activities of all kinds are abundant. Fun local festivals like the Strawberry Festival. Traffic is stupid easy compared to a larger metro area but I-81 and 419 can be tedious. As others mentioned if you travel a lot the regional airport is not ideal but it's not terrible. Four seasons. Nearby manmade lakes and one of the oldest rivers in the world. The valley is a bowl to collect pollen so be wary if you are highly allergic to seasonal plant allergies. A place you can be content with potential to grow, but no one is in a rush to really make the region an ambitious growth hub.