The song is about a girl who appears to be very sad and lonely despite being in a crowded place where music is playing loudly. The narrator notices that she is waiting for someone who can make her feel proud and happy. He tries to ask her to dance but is turned down, and he realizes that she is carrying a lot of emotional pain because of someone who hurt her in the past. The narrator feels sympathy for her and wonders why someone so beautiful and calm would be so lonely. He wants to help her, but he feels helpless in the face of her sadness. The song is about the universal experience of loneliness and the desire to connect with others, but the difficulties that can make it hard to do so. Tom T. Hall's song paints a poignant picture of a person who is suffering in silence, and it reminds us that we never truly know what someone else is going through. Despite being surrounded by people and noise, the loneliest girl in the crowd can feel like the only person in the world, and it takes courage and understanding to reach out to someone who is hurting.