More environmental policies and larger investments in protecting the aquatic environment in China have been made in the last decade than previously. It is important to assess how this will affect river water quality. Here, changes in water quality in China between 2011 and 2021 are assessed. Water bodies meeting class III or better defined in the Chinese Environmental Quality Standards for Surface Water (GB3838-2002) were labeled WQI, water bodies meeting class V or better but below class III were labeled WQII, and water bodies below class V were labeled WQIII. The percentage of WQI water bodies increased from 66.1 % in 2011 to 81.0 % in 2021, and the percentages of WQII and WQIII water bodies decreased between 2011 and 2021. The percentage of WQI water bodies increased more quickly and the percentage WQIII water bodies decreased more quickly after 2017 than between 2011 and 2016. The percentages of WQI water bodies in the Northwest River Basin (RB), Pearl RB, Southeast RB, Southwest RB, and Yangtze RB were >80 %, and were higher than the percentages of WQI water bodies in the other five RBs. The percentages of WQI and WQII water bodies increased but the percentage of WQIII water bodies decreased in the Hai RB. The percentage of WQI water bodies increased but the percentages of WQII and WQIII water bodies decreased in the Huai RB, Liao RB, Yangtze RB, and Yellow RB. The river monitoring capacity increased and pollution sources, particularly point sources, became more controlled, and this improved river water quality. River management in China has passed the first stage of controlling pollution sources after 10 years of centralized management. The next stage should be focused on strengthening control of non-point sources of pollution and rehabilitating ecological systems to improve river health.