This paper reviews the current quality of groundwater in Vietnam. In Vietnam, groundwater is obtained primarily from tubewells, which have high concentrations of pollutants such as As, Fe, Mn, and NH4(+). In the areas where groundwater tests were conducted, arsenic levels ranged from 0.1-3050 μg/L, which substantially exceed the standard of 10 μg/L which has been established by the WHO. Contamination sources are distributed over a large area from the Red River Delta in the north to the Mekong River Delta in the south, putting as many as ten million people at risk of adverse health effects. Levels of arsenic and iron in sediment are strongly correlated, which indicate that the presence of arsenic in groundwater results from the reduction of arsenic bound to iron oxyhydroxides. It is important to raise awareness of these issues among the Vietnamese public by disseminating information about the negative effects of contaminated drinking water, as well as carrying out long-term research projects to identify other sources of contamination and improving water treatment technology and water management capabilities.