As one of the first batch of pilot cities of long-term care insurance system, Guangzhou has gone through the initiation, development and deepening stages of exploration since 2017. Based on local conditions and guided by the practical service needs of disabled people, Guangzhou has entrusted commercial insurance companies to undertake part of long-term care insurance business, and has given consideration to the development of institutional care and home care. It has actively explored the Internet plus, continuing care and informal care, and opened up the way of long-term care insurance practice with Guangzhou characteristics. In the future, it is necessary to further optimize the payment mode of long-term care insurance, gradually establish the service catalog of long-term care insurance, improve the long-term care insurance evaluation system.