This paper discusses the large and medium sized hydropower engineering migration and resettlement modes, analyzed the problems existing in China's large and medium sized hydropower project resettlement, and discusses the way to large and medium-sized hydropower project management of resettlement, such as establish social security system for reservoir migrants; improve the migration resettlement areas of infrastructure construction; to strengthen the training of skilled migrants; establish coordination mechanism for reservoir resettlement management and the development of society and economy.