Meurthe-et-Moselle was created in 1871 at the end of the Franco-Prussian War from the parts of the former departments of Moselle and Meurthe which remained French territory.

The current boundary between Meurthe-et-Moselle and Moselle was the border between France and Germany from 1871 to 1919 and again between 1940 and 1944. The only subsequent change took place in 1997 and involved the incorporation, for administrative reasons, of the little commune of Han-devant-Pierrepont which had previously fallen within the Meuse department.

Meurthe-et-Moselle is part of the administrative region of Grand Est and the traditional region of Lorraine and is surrounded by the departments of Meuse, Vosges, Bas-Rhin, and Moselle; and by the nations of Luxembourg and Belgium. It is one of two departments in France which border with Luxembourg. Parts of Meurthe-et-Moselle belong to the Lorraine Regional Natural Park.

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