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The name of the region is derived from its characteristic horseshoe shape, with Hamilton in the centre and Niagara Falls and Oshawa at either end.
A July 13, 2004 report from the provincial government coined the term Greater Golden Horseshoe, extending the bounds west to Waterloo Region, north to Barrie, and east to Peterborough.
The census divisions that constitute the original Golden Horseshoe appear in red on the map. The divisions in green are those that would be considered part of the "Greater" Golden Horseshoe.