Flooding remains a persistent challenge in China, attributed to its diverse geography, rapid development, and changing climatic conditions. This article offers a comprehensive account of China's flood prevention strategies, highlighting both infrastructural measures, such as dams and urban drainage systems, and non-structural strategies, including early warning systems, land use planning, wetland restoration, and community preparedness. The discussion extends to national policies, such as the Flood Control Act and the Sponge City Initiative, along with localised governance efforts that have enhanced China's ability to manage flood risks effectively. Despite these initiatives, challenges persist due to climate change, socio-economic disparities, and the increasing occurrence of extreme weather events. Rising sea levels, intensified rainfall, and accelerated urban growth exacerbate vulnerabilities, thereby necessitating sustainable and adaptive strategies. The paper underscores the importance of integrating green infrastructure, promoting inclusive governance, and fostering international collaboration to achieve long-term flood resilience. By analyzing China's successes, limitations, and future directions, this review provides valuable insights for flood-prone regions globally, emphasising the need for a holistic and adaptive approach to flood management.