A self-developed sewer health assessment system using the fuzzy comprehensive evaluation and analytical hierarchy process was applied to give a comprehensive health condition evaluation on part of the local sewers in a southern Chinese city based on the sewer video data collected by a sewer inspection closed circuit television (CCTV) robot. Aside from the overall condition evaluation, the structure, function, and stability status of the sewer were also analyzed using the method. A comprehensive index was proposed to give the overall health condition of pipes with different defects, and , , and were used to quantify the defects affecting the tightness, stability, and function of the pipe, respectively. Results show that 48% of the inspected pipes were in good condition (0< <0.25), and about 33% of the sewer pipes analyzed were categorized to be at severe or urgent condition levels ( >0.5), although most of the pipes were installed only within five years. Frequent sedimentation affects the function of the sewer, and deformation and joint damage affect the structure of the sewer.