This study aimed to examine the occurrence of microplastics in surface water and sediment samples collected from Hanoi to the Ba Lat estuary along the Red River, the second-largest river in Vietnam (surface area: 156,451 km2). 21 stations were sampled during the dry (March 2023) and rainy (September 2023) seasons. The analytical procedure involved: digestion with hydrogen peroxide, flotation with potassium carbonate, and overflow filtration. The filters were analyzed by microscopy (Nikon SMZ645) to describe shapes and colors and by μ-FTIR (PerkinElmer Spotlight 400) to determine polymer types and abundances. Results showed that microplastic quantities throughout the river ranged from 10 to 203 items.m−3 in surface water and from 653 to 8069 and 990 to 21,610 items.kg−1 dried weight (d.w.) in sediment during the rainy and dry seasons, respectively. MPs were classified into two main shape groups: fiber and fragment, with fibers being predominant, representing 82.0 % and 75.5 % of microplastics in water and sediment, respectively. The primary colors identified were white/transparent, black, and blue. Particles between 13 and 200 μm were the predominant size class, accounting for 64.1 % and 72.4 % of the microplastics in water and sediment, respectively. Polyethylene, polypropylene, and polyethylene terephthalate were the main polymers, accounting for 71.5 % and 72.2 % of the microplastics in water and sediment, as revealed by μ-FTIR analyses. Overall, in the Red River, the MP pollution load is moderate, but the type of particles detected represents a high to dangerous polymer risk, resulting in a very high potential ecological risk on the river. © 2024 The Authors