In China, as elsewhere, hydropowerpresents development practitioners with a dilemma.Hydropower holds the promise of relatively cheap, clean, andsustainable electrical power generation; and yet, it canalso generate significant and complex environmental andsocial problems. A major challenge is striking a balancebetween potential development benefits anddevelopment-induced harms. This review summarizes the Chinahydropower resettlement experience as assessed by Chineseresettlement practitioners for the purpose of identifyinglessons that may be applicable elsewhere. Of course, theChina hydropower context includes unique or unusual aspects,and others would need to adapt China’s lessons to their owncountry or sector conditions. Nevertheless, for policymakersand practitioners interested in strengthening the efficiencyand effectiveness of resettlement performance, at either thesectoral or single-project level, this review identifiespractical steps they may find ready for consideration or use.