With the development of more and more multi-center and cross-field cooperative medical research，the establishment of high-quality and efficient ethical collaborative review and mutual recognition systems is an inevitable demand for multi-institutional research，and an inevitable move to implement relevant national policies.Based on the work practice of ethical collaborative review and mutual recognition in Shenzhen，by analyzing the practical challenges of ethical collaborative review and mutual recognition in China，this paper proposed that to ensure the homogeneity and efficiency of review.Government departments need to take the lead，establish an ethical review alliance，and clarify responsibilities and rights.Based on actual needs，system first，and effective communication，ethical collaborative review and mutual recognition of results could be jointly promoted，aiming to provide a reference for our counterparts in China to promote ethical collaborative review and mutual recognition of cross-institutional research.