Ha Giang is a province with many advantages and plenty of potential for tourism development. In recent years, the tourist industry has made significant contributions towards the region’s economic development, and job creation for the local workforce, especially for ethnic minority households. However, there are also negative effects of tourism, including the interference with the natural landscape, emergence of more social evils, and the bringing of some insecurity to public order. By surveying local households and businesses, and tourists coming to the region, as well as discussions with local state management agencies, the authors, via this paper, aim to provide a more comprehensive analysis of sustainable tourism development in the province.