OBJECTIVE： To investigate the development and existing problems of pastes in TCM medical and health institutions of Hubei province， and provide basis for establishing relevant policies. METHODS： A questionnaire investigation was adopted to investigate and statistically analyze the development of pastes in TCM， national medicine and Chinese combined with western medicine medical and health institutions of Hubei province. RESULTS： Totally 91 questionnaires were sent out， 91 were effectively received with effective rate of 100％. The development rate of pastes in the surveyed institutions was 61.54％； the average annual growth rate of paste production in Hubei province from 2011 to 2013 was 25.57％； the single paste over 400 yuan accounted for the highest proportion （32.14％）. The projects involved in the paste management were better showed in aspects of “developing work system， norms and processes for paste”，“the first person in charge was director and above”，“conducting publicity and promotion”. Physicians of the paste prescription were mainly based on the senior professional title， mostly with a bachelor’s degree or above， while the preparation personnel was mainly based on the primary， intermediate personnel， mostly with a bachelor's degree and below； the participation rate of the provincial level of the training for all related personnel was only 8.71％. The production of paste covered a total area was 3 090 m2 with single average production time of 33.6 h. The quality control of paste was mainly based on the appearance and characters. The study on paste still had not really started in Hubei province. CONCLUSIONS： The business of pastes in Hubei province has developed rapidly while still has a bright popularity prospect in other places throughout the province. The management， training， quality control and scientific research of the paste are relatively inadequate.