Anaerobic digestion technologies have been utilized in Vietnam for more than 30 years with thousands of domestic small scale plants, mostly for agricultural and livestock wastes. For municipal solid waste (MSW) the development of biogas plants is far below the current high waste generation rates. The aim of this paper is to present the results of a feasibility assessment of implementing AD to treat the organic fraction of municipal solid waste (OFMSW) in Vietnam. For this purpose, an environmental analysis was performed comparing three treatment scenarios: two hypothetical AD technologies (a wet and a dry fermentation system) and the existing industrial composting facility at Nam Binh Duong Waste Treatment Complex in South Vietnam. This study sought for the technology to recover the most possible resources and energy from the OFMSW, and reduce greenhouse gas (GHG) emissions. The results were then combined with a policy review to support a holistic approach on the feasibility of these technologies in Vietnam. The outcome indicates that by implementing the dry AD system, up to 16.7 GWh of power and 14.4 GWh of heat energy can be generated annually and it can potentially save up to 5,400 Mg of CO2 equivalent per year, presenting the highest resource/energy benefits. The performance of the wet system and composting facility present some advantages particularly if there is a previous segregation of the organic material from the rest of the household wastes. Moreover, current reforms in Vietnam demonstrate the government’s interest in AD technologies, translated into the development of fiscal and financial revenues which incentivize participation from the public and private sector. Finally, these technologies are constantly under development and have the potential to be further improved, which gives hopes that waste treatment systems can be optimized to meet the waste and energy challenges of the future generations.