Based on analyzing a lot of studies on wetland protection and management, the paper systematically discussed the challenges of lake wetlands in China which mainly included sediment accumulation, reduction of lake area, descent of water level, and lake water quality deterioration. In order to provide some theoretical guidance and scientific basis for the sustainable development and management of lake wetlands,it put forward a series of countermeasures for lake wetland management, such as establishing wetland natural reserve, wetland ecosystem health assessment, ecological function division management, and sustainable management countermeasures.