An adaptive integral sliding mode direct power control (AISMC DPC) strategy for voltage source converter medium voltage direct current (VSC-MVDC) system converter stations (CS) is proposed in this paper. For high power VSC-based applications, the time delays in the control loops have significant adverse impacts on system performance and robustness. Aiming at these problems, an integral sliding mode control (ISMC) based DPC controller, consisting of the proportional and the integral control laws, is firstly designed for the CS to realize accurate power regulation objective. Then, based on the ISMC DPC controller, an ac line parameter adaptive scheme with error compensation, i.e., the AISMC DPC strategy is proposed, to improve the robustness and the transient performance of the system. Simulation studies on a 2-terminal VSC-MVDC system are conducted to verify the effectiveness of the proposed AISMC DPC strategy. The results show that the strategy provides satisfactory performance of the system over wide range of operating conditions.