Significant progress has been achieved in China for biohydrogen production from organic wastes, particularly wastewater and agricultural residues, which are abundantly available in China. This progress is reviewed with a focus on hydrogen-producing bacteria, fermentation processes, and bioreactor configurations. Although dark fermentation is more efficient for hydrogen production, by-products generated during the fermentation not only compromise hydrogen production yield but also inhibit the bacteria. Two strategies, combination of dark fermentation and photofermentation and coupling of dark fermentation with a microbial electrolysis cell, are expected to address this issue and improve hydrogen production as well as substrate utilization, which are also discussed. Finally, challenges and perspectives for biohydrogen production are highlighted.