The region is growing more diverse, with 83% of residents reporting their race as white in 2015-19, compared to 85% in 2000. The white population experienced a decrease of 3%, while other racial and ethnic groups have grown since 2000: 68% for Hispanics, 54% for Asians and 11% for African Americans.

Our region's total population has remained relatively flat since 2000, similar to state trends but counter to the nation. In 2020, residents numbered  over1.2 million, up 1.9% from 2000, compared to growth of 18% in the nation and 6.5% in the state. The City of Rochester and five counties, Genesee, Livingston, Orleans, Wayne, and Wyoming, lost population: 4.0% in the city and between 2.7% and 8.7% in each of the counties. The fastest growing counties were Ontario (12.4%) and Monroe (3.3%).

The 60 to 84 age group has been the fastest growing population in the region since 2000, increasing 47%, while the 85 and older age group increased 34% as well in 2015-19. Meanwhile, the under 20 and 20-39 age groups decreased by 17% and 5%, respectively.