The main focus of this study was to analyse and propose measure for N. Macedonia and Albania regards sustainable and responsible tourism. The analysis also addressed the tourism in N. Macedonia and Albania, and explored options for using the European Tourism System for Sustainable Destination Management.

According to our research, conducted field surveys in both countries, the social mindset, institutions, and public administration systems of a tourist destinations could be unprepared of the rapid changes in the way the tourism will be developed. Many local tourism business operators have very limited understanding of the needs and wants of travellers, and expectations of international tour operators. To function as one integrated travel destination countries in the region must establish effective cooperation to develop joint tourism products (cross-border routes, common themes, joint attractions, etc.), deliver authentic regional experiences and market them as one destination.