Activities include livestock and competitive exhibits, pulling contests, craft and commercial tents, various forms of entertainment and a carnival midway.
The fairgrounds accommodate both permanent buildings for commercial and agricultural exhibits and space for tents and other non-permanent structures to be brought in each year.
Past entertainers on the main stage have included Blake Shelton, Pat Benatar, Justin Moore, George Jones, SHeDAISY, Bill Monroe, Loretta Lynn, 38 Special, Charlie Daniels, Phil Vassar, The Guess Who, REO Speedwagon, Foreigner, Blues Traveler, and KC and the Sunshine Band.
In addition to the members of the Durham Agricultural Fair Association and other volunteers, local organizations such as schools, churches, clubs, civic groups, and more, participate in the fair to help raise funds for their organizations.
They are well received as a show of strength between farmers who believe that their oxen, horses or tractors are the strongest in terms of pulling weight.