The construction of artificial weirs as part of the Four Major Rivers Restoration Project is expected to result in the Nakdong River Basin having the characteristics of closed water bodies and properties of water quality that convert suspended components into soluble ones due to a long retention time, thereby leading to the continuous deterioration of water quality. In this regard, this study investigated the changes of water quality on four weirs in the mid-lower Nakdong River Basin. In addition, it examined the organic matters and nutrient salts affecting the water quality, established mass balance with respect to the nutrient salts, and analyzed the load accumulations of each weir to present the directions for water quality management. With regard to the water quality, the items of BOD and COD, T-N and NH4-N, and T-P and PO4-P showed similar tendencies, and most of the items exhibited high concentrations from July to September. Furthermore, it was confirmed that the concentrations of the water quality items were high in Dalseong Weir and Hapcheon-Changnyeong Weir. In July, most of the weirs showed the greatest difference of DO in the surface layer and deepwater layer, while the DO concentration of the deepwater layer dropped below 4.0 mg/L in all four weirs. The sediment survey showed that the SS, T-N, and T-P have a larger amount of sediment in the aphotic zone than in the photic zone, and the amount of sediment per unit area was greatest in Dalseong Weir. According to the sediment release survey results, the release concentration was high in July, which was due to the effects of high water temperature and low DO concentration. T-N was eluted mostly from Dalseong Weir and Gangjeong-Goryeong Weir, and T-P was eluted mostly from Dalseong Weir and Hapcheon-Changnyeong Weir. Among the mass balance, nitrogen balance showed the highest amount of accumulation in Gangjeong-Goryeong Weir (6109 kg/d), and phosphorus balance showed the highest amount of accumulation in Changnyeong-Haman Weir (447 kg/d). These results are expected to be utilized as important materials for setting the management directions for each weir.