Until recently when travelling from Milano to Bellinzona by train there was a choice of two direct services, but the Regionale trains have now been diverted so that they arrive in Locarno instead.
Therefore the only direct rail link from Milano to Bellinzona is by taking the express EC trains, which will be heading on to other destinations in Switzerland.
Though if you will be travelling with a Eurail or InterRail pass, you can avoid paying a rail pass reservation fee in excess of €10 to travel by these EC trains, by taking those Regionale trains to Lugano and connecting there for Bellinzona.
When travelling between most cities by train there is only one logical option, though on other journeys there is a choice between different trains or alternative routes. If different options are available you can use the info to decide which is best for you.
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This is one of more than 100 train travel guides available on ShowMeTheJourney, which will make it easier to take the train journeys you want or need to make. As always, all images were captured on trips taken by ShowMeTheJourney.