The Old Regular Baptist Church is one of the oldest denominations in the Appalachian mountains. Its followers cherish its traditional practices and its sense of everlasting values in a changing world. In the Good Old Fashioned Way documents a riverside baptism, foot-washing ceremonies, an Association Meeting, the music of the church, and memorial services held at a family ceremony. Widespread only among mountain people, this religion is uniquely a product of Appalachian culture — and this documentary is a rare look at its practices.