It is getting popular for gaming destinations to develop their MICE (meeting, incentive, convention, and exhibition) business, but little research has connected gaming and exhibition. Macau has become a world leading gaming destination and is now devoting itself to exhibition development. This development has attracted some research attention, but the competitiveness of Macau in the perceptive of attendees is still to be revealed. Meanwhile, the advantage of a gaming destination in exhibition development lacks empirical examination. This study investigated exhibition visitors’ destination perception of Macau and their primary reasons for attending. Results showed that Macau’s exhibition competitiveness can be improved in order to compete with other exhibition cities in Asia, such as Hong Kong. In addition, the results show that gaming and other entertainment facilities do not contribute as much as one expects to attracting current visitors when compared with other factors.