The Japanese national government built the Ōu Main Line, starting construction from Aomori in 1894, from Fukushima in 1899 and linking the two sections in 1905.

The section between Niwasaka and Akaiwa stations proved to be geologically unstable, with one of the original tunnels collapsing in 1910.

[citation needed] The company also opened a 5 km 762 mm gauge line to the Hanaoka mine in 1914 including a bridge over the Ōu Main Line at Odate, which was converted to 1,067 mm gauge in 1951 to enable ore wagons to be forwarded via JNR trains.

Following privatisation and regionalisation of the JNR network in 1987, the JR East company decided to convert the Fukushima–Yamagata section of the 1,067 mm gauge Ōu Main line to 1,435 mm gauge, enabling Shinkansen trains from Yamagata to travel on the Tohoku Shinkansen line through to Tokyo.

The Yamagata Shinkansen opened in 1992, and although the maximum speed is 130 km/h (81 mph), the overall transit time to places beyond Fukushima is improved due to the elimination of the need to change trains at the junction.

These projects also created parallel 1,435 and 1,067 mm gauge lines between Omagari and Akita and between Yamagata and Uzen-Chitose respectively, and a dual-gauge section between Jinguji and Minejoshikawa (on the Omagari to Akita section), enabling Shinkansen trains to pass at speed on the mostly single-track line.

Additionally, local services continue to be provided on the gauge-converted lines by 701-5000 series standard-gauge suburban/interurban rolling stock.