China is rich in hydropower resources, and mountain rivers have abundant water resources and huge development potential, which have a profound impact on the pattern of water resources allocation in China. As the main way of water resources and hydropower development, the construction of cascade hydropower stations, while meeting the requirements of water resources utilization for social development, has also brought adverse effects on river ecosystems. Therefore, the impact of the construction of cascade hydropower stations on mountainous river ecosystems, where the minimum ecological flow of rivers must be ensured and reviewed. In addition, this paper proposed the deficiencies and outlooks for cascade hydropower stations based on previous research results.