Objective To analyzes the current situation and existing problems of foodborne disease surveillance in Zhejiang Province, and puts forward countermeasures and suggestions, in order to better utilize the foodborne disease surveillance system in ensuring food safety. Methods Based on the analysis of the current situation of foodborne disease surveillance system in Zhejiang Province, the current practices, achievements and main problems were analyzed and summarize. Results Imperfect surveillance mechanism, poor monitoring quality, disunity of information construction standards and inadequate data utilization were the main problems. Conclusion It is suggested to cultivate the reporting awareness of medical staff from university, adjust the surveillance strategy properly, promote the standardization of foodborne reporting information based on the regional platform of local public health platform, explore the food safety evaluation system based on the result of foodborne disease surveillance, and strive to improve the effectiveness of foodborne disease surveillance.