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Abstract: Extensive research into the changing sediment load throughout the Yangtze River (Changjiang) basin has been completed over recent years, and it provides an ongoing example of how to evaluate the consequences of natural and anthropogenic impacts on sediment processing in a very large fluvial system. This paper reviews these recent studies and critically assesses their findings regarding changes in sediment yield, load (both spatial and temporal variations), grain size, and rating curves, as well as the morphodynamic response of the channel and delta. We also discuss the factors driving these changes, including climate change, soil and water conservation measures, dam construction, and sand extraction, and consider the likely future trends in sediment load. Based on a consideration of the major outcomes of, and discrepancies between, recent studies, we conclude that sediment supply, transport, mobilization, and deposition in this large river system are complicated by the heterogeneous nature of its morphology and climate, as well as the progressive intensification of human activities. Therefore, the identification and interpretation of hydrological and sedimentological changes in the Yangtze basin can be difficult, and an in-depth study of the causal mechanisms of variations in sediment load and the impacts on the Yangtze River system is urgently required. [Copyright &y& Elsevier]