China is at present experiencing a very rapid urbanization process, which has brought a number of adverse impacts upon the water environment. In particular, urban runoff quantity and quality control have emerged as one of the key concerns for municipal officials. One of the strategies being considered is the use of a Low Impact Development type of Best Management Practices (LID BMPs) for urban storm water runoff quantity and quality control. In this paper, the situation surrounding urban runoff control in China is reviewed first. Then the conventional strategy and technologies for the construction and management of urban drainage systems are discussed, while exploring their inherent dilemmas. The LID BMPs are then introduced to control urban runoff in the context of urban sustainable water systems. After the comprehensive analysis of the various LID BMPs, the advances in LID BMPs research and practice for urban runoff control in China are investigated and summarized. At last, the difficulties of implementing LID BMPs in China are discussed, and a direction for the future is proposed.