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/Sounds like "PYE" + "sah" (as in "salsa")/

Meaning

A person from Medellín or the Antioquia region in Colombia. Paisas are known across the continent for their tireless entrepreneurship, unmistakable accent, and regional pride that can't be contained.

Examples

Paisas are super entrepreneurial.

You can tell he's paisa by the accent, he says 'pues' every three words.

Word family
Regional synonyms

In Argentina and Uruguay lunfardo, a trick, knack, or insider technique for getting something done that looks effortless once you know it. The kind of practical wisdom someone shows you once and you never forget.