This study aimed to determine the impact of strategic thinking and visual representation approaches (VStops) on the achievement, conceptual knowledge, metacognitive awareness, awareness of problem-solving strategies, and student attitudes toward mathematical word problem solving among primary school students. The experimental group (N = 96) received the VStops approach in teaching and learning of mathematical word problem solving, while the control group (N = 97) received the conventional approach. Five instruments were used to collect the data: the achievement test, conceptual knowledge test, metacognitive awareness questionnaire, problem-solving strategies awareness questionnaire, and attitudes toward mathematical word problem-solving questionnaire. Pre and posttest data were analyzed using multivariate analysis of variance (MANOVA) followed by univariate analysis of variance (ANOVA). Overall, the study found that the VStops approach had a positive impact on achievement, conceptual knowledge, metacognitive awareness, awareness of problem-solving strategies, and student attitudes toward mathematical word problem solving.