The region is growing more diverse, with 81% of residents reporting their race as white in 2017-21, compared to 96% in 2000. The white population experienced a decrease of 4%, while other racial and ethnic groups have grown since 2000: 80% for Hispanics, 60% for Asians and 9% for African Americans.

Our region's total population has remained relatively flat since 2000, similar to state trends but counter to the nation. In 2021, residents numbered  more than 1.2 million, up 1.4% from 2000, compared to growth of 18% in the nation and 4.5% 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 3.0% and 9% in each of the counties. The fastest growing counties were Ontario (12.5%) and Monroe (2.7%).

The 60 to 84 age group has been the fastest growing population in the region since 2000, increasing 55%, while the 85 and older age group increased 35% as well by 2017-21. Meanwhile, the under 20 and 20-39 age groups decreased by 16% and 4%, respectively.