ObjectiveTo investigate management status of surgical instruments and dressings in hospitals in China, understand centralized management of central sterile supply department (CSSD), management of loaner medical instruments and implants, laparoscopy processing method, as well as material and current washing status of surgical drapes and surgical clothes.Methods187 second level and above hospitals in 14 provinces in China were selected, a questionnaire survey proved by experts in healthcareassociated infection control and operating departments (rooms) was adopted, survey was conducted through email to the surveyed hospitals.ResultsA total of 108 tertiary and 79 secondary hospitals were investigated. 52.94% of hospitals performed centralized management for surgical instruments and dressings in CSSD. 90.27% and 96.76% of hospitals cleaned and sterilized loaner medical instruments in CSSD respectively. 89.19% of hospitals used pressure steam sterilization to sterilize implants. 49.46% and 57.61% of hospitals cleaned and sterilized laparoscopy in CSSD. More than 70% of hospitals adopted cotton cloth for surgical drapes and surgical clothes materials. About 60% of tertiary hospitals entrusted laundry agencies to wash surgical drapes and clothes, 80% of second hospitals washed surgical drapes and clothes in hospital laundries.ConclusionCentralized management of CSSD needs to be further implemented, management of loaner medical instruments and implants, and processing of laparoscopy has improved, but there is still room for further standardization. Cotton is still the main material for surgical drapes and clothes throughout the country, laundry agency and hospital laundry should strictly compliance with The technical specification for washing and disinfection of medical fabrics in hospitals, so as to ensure the safety of patients.