The Worcester and Hereford Railway started the construction of a standard gauge railway between the two cities in 1858. It had needed the financial assistance of larger concerns, chiefly the Oxford, Worcester and Wolverhampton Railway, and the Newport, Abergavenny and Hereford Railway. It opened its line progressively from 1859 to 1861, delayed by exceptionally difficult tunnelling at Colwall and Ledbury. The company was purchased by the West Midland Railway in 1860, and that company amalgamated with the Great Western Railway in 1863.
The line was double track as far as Malvern at first, but was later doubled throughout except for the two tunnels. The line was conceived chiefly as a through railway for passenger and goods trains; the local traffic remained thin.
The line remained a secondary main line, and is in operation today.