This is the first study to examine the effect of three different cultivation methods (bottom-tray culture, suspended-tray culture, and beach/bottom culture) on the growth and survival rates of the snout otter clam, Lutraria philippinarum, after 12 months of grow-out cultivation from seed to commercial size. Analyses included weight, survival, shell size, and total fat. Although the results showed limited differences in growth among cultivation methods, survival rates were significantly different among three different culture methods. The bottom-tray cultivation method had the highest survival rate (76.5%), compared with suspended-tray cultivation (31.6%) and beach/bottom cultivation (52.5%). This demonstrates that the most suitable method for commercial snout otter clam farming is cultivation trays placed on the bottom of the substrate. Improving commercial farming of the species will support the development and expansion of aquaculture in Vietnam and elsewhere, while reducing the harvest pressure on wild populations.