In the People’s Republic of China (PRC), the incidence of natural disasters—particularly water-related disasters—are on the rise, resulting in an increased exposure to and vulnerability of the population to disasters. Coupled with anticipated increases in the frequency and intensity of weather-related events due to climate change, the PRC’s population is at heightened risk. This review focuses on water-related disasters, including identification of underlying causes, current management and policies to reduce risk, and opportunities for strengthening integrated disaster risk management in the PRC.