This study was conducted to investigate the status of regional linkage in tourism development in in the Midlands and Northern Mountains of Vietnam. The data was collected from a survey of 755 people, including officials from State management bodies in charge of tourism, officials and staffs at tourism resorts, tourism firms, tourism scientists and tourists. In addition, we conducted 10 group discussions, interviewed 30 State tourism agency officials and tourism firms in the Midland and Mountainous provinces of Vietnam. The results show that tourism development in Vietnam in general and the Northwest region in particular is extremely fragmented, not yet forming a regional linkage; Regional and national tourism development programs are just formalistic. The main cause of the situation is the limited regional integration policy in Vietnam, the lack of appropriate regional governance mechanisms and inactive participation of the private sector in regional integration. Based on the findings, we propose a tourism sector linkage model; besides, policy implications are given for fulfilling the linkage policy in the Midlands and Northern Mountains area.