The increase of microplastic contamination in Vietnam is a growing concern due to various domestic, agricultural, and industrial activities. The use of plastic mulch and sludge application in agricultural farmland, textile production, daily consumer items, cleaning agents, and health/personal care products contribute significantly to the increasing microplastic pollution in the aquatic ecosystem. The concentration of microplastics reported in surface water ranged from 0.35 to 519,000 items m, with fibers and fragments being the most prevalent shapes. Notably, the high concentration of microplastics was observed in lakes, canals, and megacities such as Ha Noi and Ho Chi Minh City, which poses potential health risks to the local community via drinking-water supply and food chains. As an emerging pollutant, MPs are the transport vectors for contaminants in environmental matrices that act as a carrier of hazardous pollutants, release toxic compounds, and evenly aggregate/accumulate in biota. Recent studies have reported the presence of microplastics in various marine organisms, including fish and shellfish, highlighting the risk of ingestion of these particles by humans and wildlife. Thus, it is imperative to monitor microplastic contamination in the ecosystem to provide helpful information for the government and local communities. Efforts should be taken to reduce microplastic pollution at the source to minimize potential effects on ecological and health safety. This review paper emphasizes the urgent need for further research on microplastic pollution in Vietnam and highlights potential solutions to mitigate this emerging environmental threat. KEYWORKS: single-use plastics; microplastics; ecosystems; plastic waste; health risk; ecological and health safety; pollution mitigation.