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Healthcare is McAllen's largest employment sector, representing roughly 30.5 percent of the workforce and employing over 31,000 medical staff, with major systems including Doctors Hospital at Renaissance, Rio Grande Regional Hospital, and South Texas Health System. Manufacturing has operated across the McAllen-Reynosa international metro since the 1980s, spanning automotive, aerospace, medical device, and electronics production; the region's 29 industrial parks host companies like TI Automotive, Delphi Teck, and Panasonic, backed by a manufacturing workforce of around 136,000. General Electric Aviation refurbishes jet engine components locally, part of an aerospace cluster employing more than 3,000 people.

McAllen has become the number-one land port in the country for fresh produce imports, reflecting its position across two international bridges from Mexico, and retail trade in the metro runs over $17.5 billion a year. The city also hosts a large customer-service contact-center industry employing more than 6,500 people, with operators including T-Mobile and Ticketmaster. Other major regional employers include H-E-B, Frito-Lay, and Duro Bag Manufacturing, reflecting a metro economy weighted toward trade, logistics, and consumer-facing operations tied to the border.

With over 145,000 workers spread across hospitals, industrial parks, and contact centers, plus a produce and manufacturing trade economy running through two international bridges, McAllen residents and businesses regularly need dentists, HVAC contractors, and legal or logistics-adjacent services tied to that around-the-clock, trade-driven activity.