Delayed response behaviour commonly occurs in conjunction with changes in riverbed scouring and sediment deposition and is a key component in understanding the intrinsic behaviour of reservoir siltation. Due to the complexity of the riverbed siltation process, the variability in the factors that influence siltation and the limitations of available research methods, the understanding of the delayed response behaviour of the sedimentation process in the Three Gorges Reservoir (TGR) is currently merely qualitative, and there is a lack of quantitative in-depth understanding. In addition, the effects of changes in water and sediment conditions on sedimentation in the TGR before and after cascade reservoir impoundment have not been quantified, so further studies are needed to provide a reference for better understanding the intrinsic behaviour of sedimentation in the TGR and the implications for the long-term use of the reservoir. Based on measured water and sediment data from 2003 to 2020 and topographic data from 2003 to 2018, a delayed response model for sedimentation in the TGR is constructed and combined with theoretical derivation to analyse the changes in the delayed response behaviour of the TGR before and after the impoundment of the cascade reservoirs and the associated causes. Then, the influence of changes in water and sediment conditions in previous years on sedimentation in the reservoir area is determined. The results show that (1) the improved delayed response model of sedimentation, which considers variations in external water and sediment conditions, reservoir scheduling, and riverbed adjustment rates, can effectively reflect the sedimentation process in the TGR, especially after the impoundment of the cascade reservoirs. Additionally, the typical section elevation delayed response model can simulate the section elevation adjustment process. (2) After the impoundment of the cascade reservoirs, the decreased variation in incoming water and sediment and more concentrated incoming sediment in the flood season increased the adjustment rate of the riverbed, and the delayed response time of TGR sedimentation was short-