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The Chinese government has provided various forms of assistance to the Tibet Autonomous Region and has substantially improved their facilities, which has had a positive influence on the development of tourism in Tibet. The present study investigated how assistance to Tibet (AT) coordinates with tourism development (TD) by exploring the patterns and influencing factors of AT and TD using statistical data from 74 prefectural units from 1991 to 2015. The findings led to several conclusions: (1) AT displayed strong and constant coupling interactions with TD, and the coupling coordination degree increased from moderately unbalanced development (MUD) to barely balanced development (BBD). However, the coupling coordination degree remains low (MUD) in most prefectural units; (2) in 2015, the degree of coupling coordination displayed a "core-periphery" spatial pattern (i.e., low in center and high in the periphery), which highly coincides with the patterns of AT (x) and TD (y), and should thus be improved further; and (3) both AT factors and TD factors have significant effects on the spatial differentiation of coupling coordination degree but not on the coupling degree. This study expands research on coupling coordination and AT and provides scientific guidance for further coordinating AT and TD. [ABSTRACT FROM AUTHOR]