Buxtehude (German pronunciation) is a town on the Este River in Northern Germany in the district of Stade and part of the Hamburg Metropolitan Region (Metropolregion Hamburg). Buxtehude is a steadily growing medium-sized town and the second largest in the district of Stade. It lies on the southern borders of the Altes Land within easy reach of the city-state of Hamburg. West of it are the towns of Horneburg and Stade and to the south there are incorporated villages offering mostly upscale housing, e.g. Ottensen and Apensen.