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Trains account for most transport in the region with the operational length of railways about 10, 000 km.
Most important railways are latitudinal, crossing the Central and Southern Ural in six places: Nizhny Tagil – Perm, Sverdlovsk – Perm, Sverdlovsk – Kazan, Chelyabinsk – Ufa, Orsk – Orenburg and Magnitogorsk – West Siberia.
Because of the high traffic density, most railways are electrified.
The region is crossed by several major pipelines supplying and transporting natural gas from the Tyumen Oblast and Central Asia and oil from Western Siberia.
There is industrial navigation on the Kama River.
Major cities have local and domestic airports, with the major airline carrier being Ural Airlines.

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