Macksville was named after Angus Mackay and Hugh McNally, who built the Star Hotel in 1885.

[8] The first Nambucca River road bridge that carried the Pacific Highway, opened on 12 December 1931 replacing a ferry service.

The funeral, held at Macksville High School, brought global attention to the quiet country town.

[10] In December 2017, the Pacific Highway bridge bypassing the town, over the Nambucca River, was named in his honour.

[citation needed] There are no local television stations but all major free-to-air networks broadcast to the town.

The showground also hosts a range of other events throughout the year including cattle sales, the "Rusty Iron Rally" and "Pro-Ag".

Since 2013 Macksville has held a river festival that includes fireworks, music, magical floating lanterns and show rides.