More than most towns in Tuscany Pistoia has preserved the dark atmosphere of medieval times. The austere beauty of the historical town centre with numerous squares, churches and palaces. Market is held on Wednesday and Saturday in the old part of town, while a vegetable market takes place daily in a small, well preserved square with many grocery stores of high quality. Parking areas are available outside the town centre; they are well signposted and charge a fee.

Pistoia lent its name to the pistol, which it started manufacturing in the 16th century. But today it is also notable for the extensive garden nurseries spreading around it. Consequently, Pistoia is also famous for its flower markets, as is the nearby Pescia.