Water-insoluble pH-responsive poly (vinyl alcohol) (PVA)-based microfibers were prepared using terpolymer of poly ([2-(methacryloyloxy)ethyl]trimethylammonium chloride (METAC)-co-methacrylic acid (MAAc)-co-5-methacrylamido-1,2-benzoxaborole (MAAmBO)) (TP) containing a quaternary ammonium cation, as well as carboxy and benzoxaborole groups. The surface of the microfibers could be positively charged by the permanent positive charge of the METAC units owing to the presence of the quaternary ammonium cation. The MAAc units formed a covalent bond with the hydroxy group of the vinyl alcohol unit by thermal treatment at 135 °C for 24 h, and the MAAmBO units formed a dynamic covalent bond with the diol group in PVA. After thermal crosslinking for 24 h, the PVA/TP microfibers exhibited almost 100% of the residual weight after immersion in water at 80 °C for 30 min. The diameters of the dried PVA/TP_25 wt% fibers were 21.4 ± 3.9 μm, and the swelling ratio was 1.65 ± 0.16 after immersing in water for 24 h. All microfibers showed a low degree of hemolysis (<5%). The PVA/TP_25 wt% fibers were strongly dyed with anionic acid red 1 (AR1) molecules at pH 3 and with cationic methylene blue (MB) molecules at pH 12, since the balance of the surface charge depend on the solution pH. These microfibers could be bundled and twisted to improve their mechanical properties; the required fracture energy after twisting was 2.30 ± 0.91 times higher than that before twisting.