An investigation to 22 rural rivers in Jiangsu Province which have been regulated in the years of 2006—2014 was carried out from water quality improvement, general engineering measures, river function, pollution emission and the system of river long term management, etc. The problems existing in the rural river regulation in Jiangsu Province were analyzed. Some countermeasures suiting rural river regulation in Jiangsu Province were put forward, that is to remain the original shape and the embankment soil of rural river, to use stakes or original clayey soil matrix in river bank as much as possible, to advocate an innovational, long term river management system of “fostering river with river” so as to lower the river maintenance costs, to implement a river resource benefit sharing mechanism to fully mobilize the enthusiasm of the masses to participate actively in the rural river regulation, to develop a resource integration mechanism to integrate all kinds of resources in the rural river regulation.