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Butha-Buthe is a district of Lesotho. It has an area of 1,767 km² and a population in 2006 of approximately 109,529. Botha-Bothe is the capital or camptown, and only town in the district.

In the north, Botha-Bothe borders on the Free State Province of South Africa. Domestically, it borders on the following districts:

   Mokhotlong District - southeast

   Leribe District - south

It is traversed by the northwesterly line of equal latitude and longitude.