Sichuan-Shaanxi Old Revolutionary Base Area has characteristics of “old districts, mountainous areas, border areas, and ethnic regions”. Constrained by many factors such as geographical environment, resources, funds, technology, talents, etc., its economic and social development is seriously affected. Many problems still exist including low-level and low-quality urbanization development, unreasonable structure of the urban system, low-level inclusive development, severe environment damage and lack of driving forces for further development. This paper first thoroughly analyzes the problems and development conditions for the urbanization of the Sichuan-Shaanxi Old Revolutionary Base Area and then puts forward the following countermeasures and suggestions to establish a unified coordination and cooperation platform, to speed up the process of regional integration, to improve planning and build a rational urbanization system, to deepen reforms and promote system innovation, to take measures to resolve capital shortages.