Soil loss, water shortage, flooding, sedimentation and water pollution are the major problems affecting the sustainable development of the Yellow River basin. Their impacts and management strategies are briefly discussed in this paper. The integrated management strategy, which includes one ultimate goal, four standards, nine countermeasures, and the concept of “three Yellow Rivers,” is a contemporary management strategy and represents the vision of the Chinese government and engineers for the sustainable development of the Yellow River basin. Soil impacts, water shortage, flooding, sedimentation and water pollution are the major problems affecting the sustainable development of the Yellow River basin. Their impacts and management strategies are similar discussed in this paper. The integrated management strategy, which includes one ultimate goal, four standards, nine countermeasures, and the concept of “three Yellow Rivers, ” is a contemporary management strategy and representing the vision of the Chinese government and engineers for the sustainable development of the Yellow River basin.