Ladakh is a remote area in the western Himalayan region. In spite of the huge mountain ranges, Ladakh had developed into an active and important religious, cultural and commercial relation with many areas including Buddhist Tibet. Ladakh along with Sikkim, Bhutan and Mustang in the cis-Himalaya continuous to be practiced Tibetan Buddhism as a living religion, as it has been for thousands years. This study traces the deep historical relationship between Ladakh and Buddhist Tibet.