The town is famous throughout Bulgaria for the fight that took place there in 1876 during the April Uprising against the Ottoman reign. During the suppression of the uprising by Turkish irregulars, the majority of the residents were slaughtered. The French journalist Ivan de Woestyne, who visited the town in July 1876, reported for the newspaper Le Figaro that out of a population of about 2000 only 150 elders and children were left. Lady Strangford arrived from Britain later that year with relief for the people of Bulgaria following the massacres. She first built a hospital at Batak and eventually other hospitals were built including one here at Perushtitsa.
Perushtitsa is one of the few places in Bulgaria where Mavrud grapes are grown for a typical Bulgarian wine Mavrud.
- de Woestyne, Ivan (1876). Voyage au pays des Bachi-Bouzoucks. Bachelin-Deflorenne Paris.
- Shurbanov, Alexander (1996). Victorian England ~ Literary Perspective in Bulgaria. Sofia.
- Панайотов, Иван (1974). Върховръх. Мединица и Физкултура.
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