The assessment of river health status is the base of stream restoration and management.Four assessment methods of stream health status and application procedures of the RBP from American,the ISC and GRS from Australia,and the RCE from Sweden were introduced.Objects,index selection,standard enactment,and result presentation of the four assessment methods were compared.The advantage and disadvantage of different assessment indexes were discussed.The methods were assessed from seven aspects.Results from the study may offer a reference for the assessment system of stream health status in different areas of our country.