The southern United States is characterized by a humid, subtropical climate and consists of 16 states (Texas, Oklahoma, Arkansas, Louisiana, Mississippi, Tennessee, Kentucky, Alabama, Florida, Georgia, South Carolina, North Carolina, Virginia, West Virginia, Delaware, and Maryland) and Washington DC. Currently this region is experiencing the largest net population growth in the U.S. Over the last century, the expansion of large urban centers and impervious area in the region has altered the hydrologic cycle. This review synthesizes regional research that shows how watershed hydrology, groundwater recharge, stream geomorphology, climate, biogeochemistry, and stream ecology have been affected by urbanization and the expansion of watershed impervious area.