The largest town on the Big Island and the commercial center of its windward east side, Hilo, HI sits on Hilo Bay where the rainforest meets the water. Imaging, lab, and therapy services cover a wide, rural slice of Hawaii Island, since Hilo is the main care hub for everything on the rainy eastern half. Highway 11 runs south toward Volcano and the national park, Highway 19 heads north up the Hamakua coast, and the cross-island Saddle Road climbs over to the Kona side. The University of Hawaii at Hilo and the bayfront keep the town active. Travelers should plan for two realities: frequent rain, and an island where any off-island trip or specialized referral means a flight, since Hilo sits a long way from the mainland.
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