This article looks at some of the characteristics of China’s foreign aid system and its development over the years. It discusses China’s foreign aid based on its own development experiences and its view of South–South development cooperation. Both the modalities and narratives of China’s international development cooperation need to be considered in order to better understand the complexities, strengths, and weaknesses of its aid system. As China’s international aid continues to grow and become more prominent, particularly in the context of the Belt and Road Initiative, the article calls for a deeper understanding of China’s aid institutions and the need for greater cooperation and capacity building.