The developmental status of the betel nut industry is introduced, including cultivation situation, processing and development situation, and consumer market situation. The result shows that the cultivation of betel nut in Hainan Province develops rapidly and the primary processing of betel nut has formed certain scale, but the deep processing of betel nut is backward. Except for the mino amount of the betel nuts consumed by Hainan Island, a large majority of the betel nuts are processed into dry fruit to sell to Hunan Province to reprocess. The problems exist in the development of betel nut industry in Hainan Province are analyzed, covering blind cultivation, extensive management, backward processing, lagged new product development and the single and concentrated consumer market. The strategic choice of developing the betel nut industry of Hainan Province is analyzed as well. Hainan Province should carry out the green, sustainable, diversified, cooperative and export-oriented industrial developmental strategy.