The purpose of this article is to describe the application and progress of the Reduce-Reuse-Recycle (3R) initiative and its gradual implementation and development in solid waste management in Vietnam through the study of the municipal solid waste management (MSWM) systems of eight major urban cities and provinces. The resulting survey and studies showed that there are big challenges for MSWM in the study areas due to the absence of an appropriate master plan for MSWM; there is a clear need to set up indicators for waste reduction and greenhouse gas emission reduction from waste generators and enterprises involved in MSWM, especially in terms of using 3R activities in the management of industrial waste. The strength and organic combination of institutional frameworks, support measures, and technologies for 3R promotion need to be applied as soon as possible in order to implement MSWM practices using more effective measures; in particular, a reduction in the amount of hazardous substances discarded and improvements in the handling of hazardous waste are required.