In recent years，city healthy development has received increasing concerns from local and central governments in our country. Local governments have energetically implemented the healthy city plan，and the city health project has steped into a new stage from the pilot exploration to the comprehensive promotion. Evaluation results show that，in 2014，the city healthy development level in our country has been increased to a certain extent，but the sub-healthy cities still take a large proportion. From the perspective of regional structure，the “east strong-west weak” pattern is remarkable，and the gaps between five city agglomerations are still significant. The healthy development level of Pearl River Delta city agglomeration ranks first among the city agglomerations，the ecological environment problem of Beijing-Tianjin-Hebei city agglomeration is the most outstanding one，while the performance of city security ability of the Yangtze river delta and the Pearl River Delta city agglomerations are quite poor. From the perspective of city size，the healthy development level of big cities has advantages as a whole but the healthy environment and city management index of megacity are at the bottom of the list；Healthy development level of resource-based cities is far below ecological cities and the largest short board is construction of society and people’s livelihood.