This article provides a comprehensive review of the past, present, and future of school-based counseling in mainland China. First, this article summarizes the historical antecedents and important policies that have influenced the progress of school-based counseling in China. Next, the current situation of the profession is discussed, including relevant government policy, school and school counselor practice, and current challenges. In the final section, the implications for policy-makers to further support the profession are explored.