The branch started in Port Macquarie in 1934 with volunteers holding street stalls, raffles and concerts to raise funds.

In 1948 two branch members sold some donated clothing and so began the tradition that is carried on to this day still run by volunteers.

President of the Port Macquarie branch Alice Miller said the early days were tough.

"They were known as the far westers and traded in alley ways and empty shops," she said.

"One shop even had a dirt floor and no electricity.

"As Port Macquarie grew so did the rent on leased properties and about 28 years ago Royal Far West Head Office purchased the present location in Haywood Street."

The Royal Far West Op Shop is staffed by 25 volunteers.

Over the last 10 years it has raised more than half a million dollars.

"This speaks volumes for the generosity of the people of the Hastings who support us and the big hearted lovers of children who volunteer many hours to ensure that Royal Far West will be able to continue to support country children who after all are our future," Ms Miller said.

Royal Far West was started in 1924 and helps country kids connect to the healthcare they need but couldn't otherwise access.

The organisation supports close to 3,000 families every year to ensure a more empowered generation of young rural and remote Australians through access to health care and family support.