While more developed countries have a well-established systems to develop water quality criteria (WQC), little research has been done on the adequacy of the current WQC to protect endemic species of China. In order to maintain the health of aquatic ecosystems in China, a series of projects to establish national WQC based on regional characteristics has recently been initiated. However, the establishment of a completely novel methodology would be costly and time consuming. Also, due to the similarities in physiologies and natural histories of classes of aquatic organisms, there is no reason to believe that WQC would not be sufficient to protect unique species in China. This review was undertaken to identify key outstanding issues regarding establishment of aquatic life criteria (ALC) to be applied in China, including prioritization of chemicals, test species, mode of action, field/semi-field data, and methods of aggregating the information and calculating the ALC. This was used to identify the principle issues that need to be addressed in order to better understand the methods for development of criteria for the protection of aquatic life and provide a reference to China and other developing countries committed to the establishment of their own WQC system.