The rapid process of urbanization，industrialization and globalization is promoting the formation of a high-density，high-intensity and high-mobility urban development model in China. The accumulated risks and sub-health problems in the process of urban development are becoming prominent. Based on the analysis of the problems and challenges faced by the healthy development of Chinese cities，this paper systematically evaluates the healthy development of Chinese cities based on the five dimensional evaluation model covering health economy，health society，health culture，health environment and health management. The evaluation results show that：the “short board” problem of China’s urban healthy development has been alleviated，but the regional imbalance situation is continuing，and the imbalance pattern of “strong in the South and weak in the North” is more evident；megacities occupy an absolute advantage in economic quality and efficiency，and the eastern coastal areas continue to lead high-quality development；the regional gap of basic public services is gradually narrowing，the equalization of medical and cultural services still need to be improved；the health management level of medium-sized cities is the highest，and there are obvious “short boards” of health management in mega cities. In the future，we should promote the formation of a public safety oriented spatial pattern，build a diversified health co governance mechanism and interregional collaborative governance mechanism，actively participate in global health governance，and comprehensively promote urban health and sustainable development.