China has embarked on a programme to vastly expand its hydroelectric generating capacity and this is certain to alter its freshwater and anadromous fish communities. To provide some insight into the direction and consequences of the likely changes, four (>250 000 kW) existing facilities were selected for review. The Gezhouba Dam, on the Changjiang River, commissioned in 1981, is a low-head run of the river facility. The Xinanjiang Dam (1959) is a high-head dam and the Fuchunjiang Dam (1968) is a low-head, run of the river dam, both sited on the Quiantang River. The Danjiangkou Dam (1968) is a high-head dam in the Han River, a tributary of the Changjiang River. Impacts on fish were classified as those caused directly by the structures, those resulting from changes in physical and chemical factors in their environment and those induced through biotic changes in their habitat. Migrations of anadromous and semi-migratory fish were blocked by the Gezhouba Dam, although some species adapted to the new environment by reproducing downstream. Below the Xinanjiang and Danjiangkou dams spawning was delayed 20–60 days by lower water temperatures. Reduced water velocities and less variable discharges caused spawning grounds below the dams to be abandoned. Marked changes in the hydrological regime caused the extinction of Macrura reevesii, a highly valued fish, in the Qiantang River. The fish communities in the Qiantang estuary were affected by the regulated discharge. Freshwater species fell from 96 to 85, whereas marine species increased from 15 to 80. Loss of habitat eliminated torrential habitat species from the areas inundated by Xinanjiang and Danjiangkou Reservoirs; lentic fish replaced lotic species and now dominate the reservoir fish communities. The expanded aquatic habitat was beneficial for fishery production. Catches from the two reservoirs continue to increase 20 years after impoundment, but are supported by extensive artificial propagation and stocking. There is no doubt that, when the expansion of China's hydroelectric facility network is complete, the fish communities in its rivers will be markedly changed.