A coordinated transmission method based on beam division multiple access and an apparatus performing the same are disclosed. The coordinated transmission method in a beam division multiple access environment, which divides a service target region into a plurality of beam sectors through a plurality of antenna arrays having at least one of a pattern characteristic and a polarization characteristic, includes receiving a coordination request from a user terminal located in the service target region and performing any one among a macro diversity operation, a coordinated silence operation, and a coordinated beamforming operation for the user terminal based on an interference level included in the coordination request.