I live in a mid-size city, and there's easy access to 35mm film and darkroom supplies, although it's slightly more expensive to buy locally than to buy online (even with shipping and tax). There's 1 full-time pro lab here, but their developing services are either very limited or too expensive to consider. There's plenty of 1-hour labs here (London Drugs-type), but you know how "great" their quality is compared to a full-scale pro lab.
Everyone's migrating over to digital 35mm or P/S, and it's sad because people (especially teens and the 20+ crowd) nowdays expect instantaneous gratification whenever I take a photo. I have to actually tell them I'm shooting film because their attention span doesn't go more than a couple seconds and they look elsewhere. And when I do so, they always ask why I still shoot film.