The interrelationship between tourism urbanization (TU) and the ecological environment is extremely complex. Some studies have analyzed the interaction between them but ignored the ecosystem services. Therefore, exploring the coupling coordination relationship between TU and ecosystem services value (ESV) is significant. In this research, we established a coupling coordination degree (CCD) model between TU and ESV and used exploratory spatial data analysis (ESDA), spatial variogram model, and obstacle degree model to evaluate the evolution characteristics of CCD and its obstacle factors in the Wuling Mountain area of Hunan Province (WMAHP). The results are as follows: (1) the comprehensive TU level shows an upward trend, and TU levels in the west are generally higher than in the east. The total ESV shows a fluctuating upward trend, and the average ESV is relatively low in the west and southeast. (2) The comprehensive CCD shows an increasing trend, and the coupling coordination relationship has changed from uncoordinated to coordinated in most counties. Spatially, the global spatial autocorrelation and spatial variation degree of CCD are insignificant. Wulingyuan and Yongding are uplift areas, and a subsidence area is in the southeast. It is worth noting that the problem of TU lag generally exists. (3) For the whole area, TU and economy are always the primary obstacle factors in the system and category layer, respectively, but the obstacle degree of the population has gradually increased. At the county level, TU restricts the CCD improvement in most counties, and the proportion of counties where the economy is the primary obstacle in the criterion layer exceeds 60%. Policymakers need to formulate targeted promotion strategies based on the coupling coordination and relative development level between TU and ESV for different counties. This paper provides valuable references for achieving coordinated development between TU and ESV in ecologically fragile areas worldwide.