El Paso has a diversified economy focused primarily within international trade, military, government civil service, oil and gas, health care, tourism, and service sectors. The El Paso metro area had a GDP of $29.03 billion in 2017. There was also $92 billion worth of trade in 2012. Over the past 15 years the city has become a significant location for American-based call centers. Cotton, fruit, vegetables, and livestock are also produced in the area. El Paso has added a significant manufacturing sector with items and goods produced that include petroleum, metals, medical devices, plastics, machinery, defense-related goods, and automotive parts.