This document summarizes a regional summit focused on growth issues in Middle Tennessee. It discusses key regional issues like transportation, land use, infrastructure, open space conservation, air and water quality, and economic competitiveness. Panelists from the region discuss their work related to these issues, including efforts around mass transit expansion, walkable communities, roadway preservation, agricultural economy protection, and open space planning. Tools and pilots for promoting quality growth are also mentioned. The summit aims to foster collaboration across the ten county region to guide growth in a sustainable manner.