Based primarily in Appalachia, the Old Regular Baptist Church is one of the oldest religious denominations in the area, and is a unique product of Appalachian culture. In the Good Old Fashioned Way captures the spirit and faith of the congregants of the Old Regular Baptist Church and the impact of their religion on their lives. The film documents an association meeting, church music, foot-washing ceremonies, memorial services at a family cemetery, and a riverside total immersion baptism.