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Spring ephemerals in the Central Appalachians are a key component of deciduous forest communities and can be indicators of shifting phenology due to climate changes in this ecosystem. The objectives of this study were to (1) determine if there have been any changes in date of flowering for the Cutleaf Toothwort (Cardamine concatenata) and Yellow Trout Lily (Erythronium americanum) in West Virginia over the last 111 years; (2) determine which climatic factors affect the blooming date of these perennial, spring ephemeral wildflowers; and (3) evaluate the effect of elevation on changing blooming dates using herbarium specimens and photographs from 1904 to 2015. Both species are widespread throughout the woodlands of eastern North America. Both species have significantly advanced their spring flowering over the last century Spring temperature was the strongest predictor of blooming date (2.91 and 3.44 days earlier/1 degrees C increase in spring temperature, respectively). Flowers at < 500 m elevation bloomed earlier and demonstrated a stronger shift in flowering date over time than flowers at > 1000 m elevations. Lower elevations, higher spring and winter temperatures, and low amounts of precipitation were associated with earlier spring flowering. This research demonstrates the plasticity of phenological response to a variety of climatic variables, the usefulness of using herbarium specimens to reconstruct flowering dates over a topographically variable area, and the contrasting effects of climate change on high elevation regions of West Virginia.