With the accelerating evolution of the world’s unprecedented changes in a century，the world is facing severe public health challenges. Promoting the healthy development of cities has become a major issue in China’s new journey towards modernization. This report builds a five-dimensional health evaluation model in line with China’s national conditions on the basis of analyzing the healthy development process of Chinese cities and the challenges they face，and systematically evaluates the condition of healthy development of Chinese cities. The evaluation results show that the health development status of cities across the country is improving slightly，the differences in regional health development levels are shrinking，the gap between the health economy and health management index has not changed significantly，the gap between healthy society and healthy environment index has narrowed significantly，and the gap in health culture index is still relatively large. The level of healthy development of China’s 18 urban agglomerations is characterized by gradient change，and the higher the level of healthy development of urban agglomerations，the more significant the degree of differentiation. In the future，China should continue to give full play to the advantages of national health governance and implement policies that integrate health into all；take healthy poverty governance as the core，comprehensively promote health equity；take the concept of resilient governance as the support，effectively deal with various complex risks；attach great importance to the impact of climate change. Actively participate in global health governance and promote the building of a community of human health.