Abstract: We generally reviewed the distributions and potential risks of heavy metals, polycyclic aromatic hydrocarbons (PAHs) and phthalic acid esters (PAEs) in the upper reaches of the Yangtze River based on recent studies. The distribution of heavy metals varied significantly with locations and types of mediums, and contents of some metals exceeded the limits in food. The contents of PAHs in the upper reaches of the Yangtze River were in line with those in the lower reaches. Low molecular weight PAHs were predominant in surface water, while high molecular weight PAHs were predominant in sediments, indicating low molecular PAHs may pose greater risks to aquatic ecosystems. DEHP and DBP were the predominant monomers of PAEs in surface water and sediments, and BBP and DBP ranked first and second respectively in fish bodies. The results of risk assessment also indicated that monomers such as DBP and DnBP had greater risk than DEHP. Over all, heavy metals and organic pollutants were widely distributed in the aquatic environment in the upper reaches of the Yangtze River, which may pose potential risks to the ecosystem.