Appalachia faces significant environmental challenges stemming from its history of resource extraction. Mountaintop removal mining, acid mine drainage, and air pollution from coal-fired power plants have caused ecological damage and health issues. Fracking and improper waste disposal further threaten the region's natural resources and public health. These challenges are rooted in Appalachia's long history of exploitation by outside interests. While regulations have improved, the region still grapples with the legacy of environmental degradation. Efforts to address these issues must balance economic needs with conservation goals and social justice concerns.