Quantifying long-term free-tropospheric ozone trends is essential for understanding the impact of human activities and climate change on atmospheric chemistry. However, this is complicated by two key challenges: the differences among existing satellite-derived tropospheric ozone products, which are not yet fully understood or reconciled, and the limited temporal and spatial coverage of ground-based reference measurements. Here, we explore if a more consistent understanding of the geographical distribution of tropospheric ozone column (TrOC) trends can be obtained by focusing on regional trends from ground-based measurements. Regions were determined with a correlation analysis between modeled TrOCs at the site locations. For those regions, TrOC trends were estimated with quantile regression for the Trajectory-mapped Ozonesonde dataset for the Stratosphere and Troposphere (TOST) and with a linear mixed-effects modeling (LMM) approach to calculate synthesized trends from homogenized HEGIFTOM (Harmonization and Evaluation of Ground-based Instruments for Free-Tropospheric Ozone Measurements) individual site trends. For different periods (1990–2021/22, 1995–2021/22, 2000–2021/22), both approaches give increasing (partial) tropospheric ozone column amounts over almost all Asian regions (median confidence) and negative trends over Arctic regions (very high confidence). Trends over Europe and North America are mostly weakly positive (LMM) or negative (TOST). For both approaches, the 2000–2021/22 trends decreased in magnitude compared to 1995–2021/22 for most regions; and for all time periods and regions, the pre-COVID trends are larger than the post-COVID trends. Our results enable the validation of global satellite TrOC trends and assessment of the performance of atmospheric chemistry models to represent the distribution and variation of TrOC.