Vietnam heavily relies on pork as its primary source of animal protein. Traditional farming methods, characterized by small-scale operations, dominate the industry. However, challenges such as rising feed costs, disease outbreaks, and market volatility are prompting many farmers to abandon their businesses. Recognizing the pivotal role of the swine sector in both economic development and nutrition, authorities must intervene to prevent its collapse. In developed nations, smart pig farming, utilizing technologies like sensors and cameras for data collection and real-time decision-making, has significantly improved health and productivity. These technologies can detect subtle indicators of animal well-being, enabling prompt intervention. This review aims to analyze the drivers of Vietnam’s swine farming, identify existing production system flaws, and explore innovative precision farming methods worldwide. Embracing precision farming promises to enhance Vietnam’s competitiveness in export markets and bolster consumer confidence. However, reliance solely on expensive foreign technologies may benefit large-scale farms, leaving smaller ones behind. Therefore, fostering local innovation and validating cost-effective solutions will be crucial for the sustainable growth of small- and medium-scale pig farming in Vietnam.