The 2004 Indian Ocean tsunami was one of the most devastating tsunamis in world history. The tsunami caused damage to most of the Asian and other countries bordering the Indian Ocean. After a decade, reconstruction has been completed with different levels of tsunami countermeasures in most areas; however, some land use planning using probabilistic tsunami hazard maps and vulnerabilities should be addressed to prepare for future tsunamis. Examples of early-stage reconstruction are herein provided alongside a summary of some of the major tsunamis that have occurred since 2004, revealing the tsunami countermeasures established during the reconstruction period. Our primary objective is to report on and discuss the vulnerabilities found during our field visits to the tsunami-affected countries—namely, Indonesia, Sri Lanka, Thailand and the Maldives. For each country, future challenges based on current tsunami countermeasures, such as land use planning, warning systems, evacuation facilities, disaster education and disaster monuments are explained. The problem of traffic jams during tsunami evacuations, especially in well-known tourist areas, was found to be the most common problem faced by all of the countries. The readiness of tsunami warning systems differed across the countries studied. These systems are generally sufficient on a national level, but local hazards require greater study. Disaster reduction education that would help to maintain high tsunami awareness is well established in most countries. Some geological evidence is well preserved even after a decade. Conversely, the maintenance of monuments to the 2004 tsunami appears to be a serious problem. Finally, the reconstruction progress was evaluated based on the experiences of disaster reconstruction in Japan. All vulnerabilities discussed here should be addressed to create long-term, disaster-resilient communities.