The on-site review process for NMPA-registered medical devices in China is a thorough and detailed evaluation of a manufacturer’s ability to produce a safe and effective device. Manufacturers must prepare carefully by ensuring compliance with Good Manufacturing Practices (GMP) and having all necessary documentation and systems in place to demonstrate ongoing compliance with NMPA standards. The process includes facility inspections, document reviews, product testing, and interviews with key personnel. Following a successful on-site review, the manufacturer can obtain or renew their device registration for the Chinese market, enabling continued access to one of the world's largest medical device markets.