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Insurgency in the South, 1954–1960

Between 1954 and 1957, the Diệm government succeeded in preventing large-scale organized unrest in the countryside. In April 1957, insurgents launched an assassination campaign, referred to as "extermination of traitors". 17 people were killed in the Châu Đốc massacre at a bar in July, and in September a district chief was killed with his family. By early 1959, Diệm had come to regard the violence as an organized campaign and implemented Law 10/59, which made political violence punishable by death and property confiscation. There had been division among former Viet Minh, whose main goal was to hold elections promised in the Geneva Accords, leading to " wildcat " activities separate from the other communists and anti-GVN activists. Douglas Pike estimated that insurgents carried out 2,000 abductions, and 1,700 assassinations of government officials, village chiefs, hospital workers and teachers from 1957 to 1960. Violence between insurgents and government forces increased drastically from 180 clashes in January 1960, to 545 clashes in September.

In September 1960, COSVN, North Vietnam's southern headquarters, ordered a coordinated uprising in South Vietnam against the government and a third of the population was soon living in areas of communist control. In December 1960, North Vietnam formally created the Viet Cong with the intent of uniting all anti-GVN insurgents, including non-communists. It was formed in Memot, Cambodia, and directed through COSVN. The Viet Cong "placed heavy emphasis on the withdrawal of American advisors and influence, on land reform and liberalization of the GVN, on coalition government and the neutralization of Vietnam." The identities of the leaders of the organization were often kept secret.

Support for the VC was driven by resentment of Diem's reversal of Viet Minh land reforms in the countryside. The Viet Minh had confiscated large private landholdings, reduced rents and debts, and leased communal lands, mostly to poorer peasants. Diem brought the landlords back, people who had been farming land for years had to return it to landlords and pay years of back rent. Marilyn B. Young wrote that "The divisions within villages reproduced those that had existed against the French: 75% support for the NLF, 20% trying to remain neutral and 5% firmly pro-government".