Transportation for classless, poor, redneck white trash seen in the Southern and Mid-Western United States (the fly-over states).
A lifted truck has its suspension raised and may have its engine modified to be louder, creating a true white trash experience.
Lifted trucks are never seen in New England, the New York area, the Miami area, or Hollywood. Driving such a mess would be grounds for ridicule and a reminder that the driver is a low-class yokel redneck from the uncultured fly-over states.
Redneck guy: Yeehaw! Just got me a lifted truck! Get 'er done, yall!
New Yorker woman 1: Ewww. What is that?
New Yorker woman 2: It's a redneck. Just keep walking.