Hands in Harmony: Traditional Crafts and Music in Appalachia is a 2009 photography book by photographer and author Timothy Lee Barnwell. The work was first published on October 12, 2009 through W.W. Norton and like prior works, focuses on the culture and history of Appalachia. The book's contents focuses on the traditions of hand crafts and old-time and bluegrass music, and the work contains photographs of the interviewees as well as an accompanying CD of bluegrass music.