Fragrant, bottlebrush-like spikes of tiny white flowers emerge on Mount Airy Fothergilla in early spring, just before the foliage, and last for several weeks. The leathery blue-green leaves provide a lush backdrop through summer before turning vibrant shades of yellow, orange, and red in the fall. This suckering shrub gradually forms colonies of upright stems, creating a naturalistic, spreading habit.

This plant is best grown in a slightly acidic, peaty soil, in sun or light shade. To promote next season's flowering, any pruning should be done soon after blooming. To keep colonies under control, suckers can be removed any time of the year.