High-rise buildings have a significant impact on the surrounding environment. Building-integrated solar water heating (SWH) systems are effective ways to use renewable energy in buildings. Impediments, such as security concerns, aesthetics and functionality, make it difficult to apply SWH systems in high-rise buildings. At present, only China uses SWH systems on a large scale in such buildings. What are China’s experiences and lessons learned in applying SWH systems in high-rises? Are these experiences scalable to other countries? This study used a combination of field investigation, literature review and case study to summarize 36 systems that had been in operation for 1–14 years. System types, collector types, installation methods, types of auxiliary heat sources, economic performance and various basic principles were summarized. The economic performance of SWH systems in high-rise buildings was analyzed and verified by a case study in Shanghai. The results show that the installation of SWH systems in high-rise buildings is feasible and reliable as long as appropriate design, construction, operation, and maintenance measures are employed. China's unique practical experience gives a reference for other countries in their efforts to make high-rise buildings more sustainable.