In a west-to-east direction, its native range extends from the state of Sikkim in India, through the east Himalayan region, into northern Myanmar.

Musa sikkimensis is considered to be native to India, Bhutan, Nepal, Bangladesh and Myanmar.

[2] Musa sikkimensis is named after the mountainous northeastern Indian state of Sikkim, as the species grows at some of the highest known elevations of any banana;[3] for example, in Yuksom, West Sikkim, the species has been noted as growing at roughly 1780 metres (5,840 feet) above sea level.

The bases of the lamina bear a red-purple colour when young, which gradually fades, latest on the midrib.

[4] The fruits are described as lax, arising from large, brown callosities on axis, angled at maturity.