The sand dredging and its impacts on riverbed evolution and tidal dynamic change in the lower reaches and delta of the Dongjiang River are examined in this paper. The large amount of sand, totally 3.32 billion m3 from 1980 to 2002, was mined from the riverbeds of the lower reaches and delta of the Dongjiang River. Increasing of the channel capacity, lowering of the average riverbed elevation, deepening of the water depth and decreasing of the longitudinal riverbed gradient are the main effects on the riverbed evolution brought by the large amount of sand dredging. Under the strong sand dredging and associated significant riverbed deformation, the notable changes of the tidal dynamic in the lower reaches and delta of the Dongjiang River occurred, including: (1) in the upper reaches of the Dongjiang River delta and lower reaches of the Dongjiang River, tidal level dropped apparently, tidal range widened, flood tidal duration became longer, amplitudes for major tidal components became bigger and tidal dynamics intensified; (2) tidal wave spread faster; and (3) the limits of the tidal level, tidal current and salt water moved upstream.