It is generally perceived that Chinese elementary teachers have a profound understanding of the school mathematics they teach. This perception has led to further interest in understanding teacher education practices in China. As some dramatic changes in elementary teacher preparation have taken place in China over the past decade, this article aims to outline these changes with a focus on curriculum provided in the new 4-year bachelor preparation programs. Sample mathematics teacher educators in China were also surveyed to gather insiders' views about teacher preparation practices and to identify relevant issues. We believe that elementary teacher preparation and its changes in China can provide an important case for mathematics teacher educators around the world to reflect on teacher education practices in their own systems.