From the time I started photography in the early 1980's until about 2002 I followed "traditional" photography techniques and hand-printed my images in the darkroom. Today I process all of my images using digital technology.
Images are carefully printed with a high-end Epson printer using archival inks and papers that are resistant to fading and discoloration with proper care.
The works of our greatest photographers such as Ansel Adams were not created by simply pushing the button on the camera. Adams controlled the final result by his choices of film, development chemicals, and paper - as well as a very skillful use of dodging and burning (that is, lightening and darkening selected areas of the print in the darkroom). Today, digital photographers have the ability to apply similar skills using current technology, rather than working in a dimly lit room filled with dangerous chemicals.
While it's possible with digital technology to literally move mountains, this is something that I strive to avoid because I prefer a more "classic" approach to my photography. However, I do sometimes use the available technology to remove unnecessary or distracting elements (a power line, for instance), or to add drama to an image by controlling the contrast.
What you see in my images is as "real" as photographs done a century ago with the technology of another era.