Cis-1,4-polyisoprene latex (IRL) is the best alternative to natural rubber latex (NRL), and can help to avoid human allergic reactions caused by proteins in NRL. The mechanical properties of IRL are inferior to those of NRL, however. To address this issue, a novel strategy was developed using an in situ solution emulsification to prepare a latex composite incorporating sodium montmorillonite (Na-Mnt). The properties of the latex film prepared were investigated. The dispersion state of the Mnt in the latex composites and the morphology of the resulting composite films were characterized using scanning electron microscopy (SEM) and transmission electron microscopy (TEM). In addition, the mechanism of Mnt reinforcement of IRL is described comprehensively. The results showed that the Mnt/IRL latex composites prepared were stable and excellent films were formed, similar to those of NRL. The current research provided an effective method for preparing high-performance composite films suitable for use in high-end medical applications.