Abstract: Objective To understand the epidemiological characteristics and incidence trend of sexually transmitted diseases (STDs) in Xiangshan county. Methods The descriptive epidemiological analysis was conducted on the surveillance data of STDs in Xiangshan from 2004-2010. Results A total of 5415 cases, including 2 deaths, of 7 STDs were reported. The average annual morbidity was 142.48/lakh. Totally 4276 cases of 3 STDs in class B were reported, accounting for 78.97%. The major STDs were gonorrhea and syphilis with 4276 cases being reported, accounting for 78.78%. Conclusion The overall incidence of STDs from 2004 to 2007 showed a downward trend (Linear-by-Linear Association test Z=61.79,P0.0001), while the overall incidence of STDs from 2007 to 2010 showed a upward trend (Linear-by-Linear Association test Z=12.70,P0.0001). The incidence of gonorrhea showed a downward trend (Linear-by-Linear Association test Z=483.93, P0.0001) and the incidence of syphilis showed a significantly upward trend (Linear-by-Linear Association test Z=601.86,P0.0001). Gonorrhea and syphilis had become the major STDs in Xiangshan, which posed threat to local peoples health. The prevention and control of these diseases should be strengthened.