In this poignant song, the singer feels himself drawn back to Massachusetts, a state in the northeastern US. It seems there is a girl at the heart of hit, one he "left her standing on her own."
The Bee Gees had never actually been to Massachusetts when they recorded this; they just liked the sound of the name. Robin Gibb explained in 1000 UK #1 Hits by Jon Kutner and Spencer Leigh: "We have never been there but we loved the word and there is always something magic about American place names. It only works with British names if you do it as a folk song. Roger Whittaker did that with 'Durham Town.'"
This was the first Bee Gee single on which the quavery Robin Gibb sang lead.
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