Since the introduction of the membrane bioreactor (MBR) in China in the early 1990s, remarkable progress has been achieved on the research and application of this technology. China has now become one of the most active fields in the world in this regard. This review outlines the development of MBR-based processes in China and their performance of treating municipal and industrial wastewaters. Since membrane fouling is a critical operational problem with MBR processes, this paper also proposes updated understanding of fouling mechanisms and strategies of fouling control, which are mainly compiled from publications of Chinese researchers. As for the commercial application of MBR in the country, the latest statistics of large-scale MBR plants ( > 10000 m 3 $d -1 ) are provided, and the growth trend of total treatment capacity as well as its driving force is analyzed.