The winner gains automatic promotion to the Waterford Premier Intermediate Championship the following season.

Ballyduff Upper and Clonea are the most successful teams in the tournament's history, having won it four times each.

On 31 January 2022, Waterford County Board delegates voted on the restructuring of the entire intermediate hurling championship system following a review process.

It was decided to establish an all-county eight-team Waterford Premier Intermediate Championship for 2023.

[4][5] Runners-up Ballysaggart represented Waterford in 2022 due to the fact that Ballygunner's second team were not allowed to participate.