Abstract The situation in developing radiation sterilization of medical products in China is reviewed in this paper. It was started at early 1980s at the laboratory level for introducing this new technique to the People's Republic of China. Recently, there are more than ten radiation facilities have been established for processing medical products. More than 20 different products have been investigated and some of them have got a good market. The loaded source for single facility is at the level of below 100 KCi except two large radiation facility in Beijing Radiation Application Center and Shenzhen Radiation Center where the capacity is over 300 KCi.