The electoral district lies mostly in the Aizu region and consists of the cities of Aizuwakamatsu, Shirakawa and Kitakata and six districts: Minamiaizu, Higashishirakawa, Yama, Kawanuma, Ōnuma and Nishishirakawa.

[2] Before the electoral reform of 1994, the area had been part of the multi-member Fukushima 2nd district that elected five Representatives by single non-transferable vote.

After the district's creation, then Liberal Democrat Hiroyuki Arai (later New Party Nippon, New Renaissance Party) narrowly beat Democrat Kōichirō Genba who won a seat in the Tōhoku proportional representation block.

Since the LDP was using the Costa Rica method (kosuta rika hōshiki) in Fukushima 3rd district, Arai only ran in the PR block in the 2000 general election and was replaced by Yoshiyuki Hozumi as district candidate, another of the three former LDP representatives from the pre-reform 2nd district (The third, Fumiaki Saitō, stood as LDP candidate in Fukushima 4th district in 1996, but lost).

After Arai's unsuccessful re-run in 2003, the LDP discontinued the Costa Rica alternation.