The Midlands region is often compared with the midlands of England. The valleys and mountains are covered in typical African thornveld and forests and they are strewn with rivers and dams stocked with trout.

The region forms a buffer between the coast and the Drakensberg Mountains and the Midlands economy revolves mainly around agriculture such as dairy, forestry and horse studs. More recently, the region has realised its potential as a popular tourism destination, acquiring and keeping the interest of tourists who use this route to the coast. It is fast becoming a tourist destination in its own right.

The Midlands Meander centres mainly on the towns of Mooi River and Howick and the areas in between. There are four main Meander routes that are incredibly well-organised and are a delight to explore. A week is barely enough to discover all the unique little shops and restaurants that sell anything from glass ornaments, art and crafts, wine, woven carpets, to honey treats and beer.