Chinese foreign aid has increased rapidly in recent years and attracted growing attention. Aid to the Pacific Islands countries forms an important part of Chinese foreign aid and has its distinctive features. Compared with Asia，Africa and Latin America，research on Chinese aid to the Pacific Islands Countries，however，is rather limited. Starting with a general picture of Chinese foreign aid，this article provides an in-depth analysis of the features and significance of Chinese aid to the Pacific Islands Countries. Building on the author’s recent fieldwork in the Pacific region，the article also discusses the perceptions of Chinese foreign aid held by the Pacific islands countries and opportunities as well as challenges faced by Chinese aid. In addition，this article explores trilateral aid cooperation as a new phenomenon in Chinese foreign aid and provides advice for policy making.