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Simple Summary: This study reviews the development of the cetacean stranding response program in Taiwan from 1994 to 2018, and examines 1320 stranding events involving 1698 animals across at least 27 species. The stranding rates have increased significantly over the years, with a notable rise in annual events from 16 to over 90. Seasonal variation demonstrates higher stranding rates during the northeastern monsoon season. The study highlights the spatial distribution of strandings, with the highest frequency in northern Taiwan and mass strandings predominantly in the southwest. Additionally, live strandings accounted for 29.5% of events and 38.9% of animals. The rescue and rehabilitation of some individuals have been conducted, and 15 individuals have been released since 2000. The findings underscore the diversity and stranding patterns of cetaceans around Taiwanese waters, and provide valuable information for developing conservation strategies in the western Pacific. A national cetacean stranding response program in Taiwan has evolved significantly in the past three decades. Initially co-ordinated by National Taiwan University from 1994, the program transitioned to the Taiwan Cetacean Society in 1999, and local governments took on a more prominent role after 2009. A comprehensive stranding database (1994–2018) has been maintained, which documented 1320 stranding events involving 1698 animals from at least 27 species. The most commonly stranded species include finless porpoises, bottlenose dolphins, Kogia spp., and Risso's dolphins. The stranding rates varied annually and seasonally, with increases noted from an average of 16 events per year for the first 3 years to 44–58 events per year between 1997 and 2015, and a sharp rise to over 90 events per year for the period of the last three years. Seasonal variations were also significant, with higher stranding rates during the northeastern monsoon (NEM, October to next April) than that during southwestern monsoon (SWM, May to September). From the aspect of distribution, more frequent and even strandings occurred along the coast of northern Taiwan, while mass strandings were concentrated in the southwestern counties during NEM. Among all strandings, 390 events (29.5%) and 660 animals (38.9%) were live ones. Under great effort in rescuing and rehabilitating 52 cases, 15 cetacean individuals have been released since 2000. Additionally, there have been 56 mass strandings involving at least 11 species since 1994, predominated by pygmy killer whales, particularly during the NEM season along the southwest coast. This study not only contributes to our understanding of the stranding patterns and diversity of the cetaceans in Taiwan, but also provides valuable insights for future conservation strategies on cetaceans in the western Pacific. [ABSTRACT FROM AUTHOR]