This region includes the Garden Route, the Central Karoo, and the Eastern part of the Overberg. A very distinct Area made up by contrasting Regions with each having a unique Character, Nature, Culture and History.

The Ingquza Hill Local Municipality (previously the Qaukeni Local Municipality) is a Category B Municipality located within the OR Tambo District in the Eastern Cape Province. It is bordered by the Ntabankulu and Winnie Madikizela-Mandela Local Municipalities to the North, and Port St Johns Local Municipality and the Indian Ocean to the South.