The region is verdant and lush in most parts. Historically, Pemagatshel was one of the four approaches to Bhutan known by the old name of Dungsamkha. Women in Pemagatshel are exceptional weavers and the Lungsermo and Aiekapur, made from raw silk, are a speciality of the region. Pemagatshel is rich in folk songs. The high spirited and fun Khoray can be sung as an accompaniment to a vigorous dance while the slower, melancholic Alo is sung in traditional farewell to loved ones.