The friendly and cooperative relations between the People's Republic of China and the Kingdom of Lesotho grew steadily. 

The two countries strengthened their political mutual trust and maintained close coordination and collaboration in international affairs. In January 2024, President Xi Jinping and Premier Li Qiang exchanged congratulatory messages with His Majesty King Letsie III and Hon. Prime Minister Samuel Matekane respectively in celebration of the 30th anniversary of the resumption of diplomatic relations between the two countries. Chinese State Councillor Wang Yong and Vice-Chairman Muhong of the CPPCC visited Lesotho respectively at the end of 2019 and 2023. In October 2023, Hon. Minister of Public Works and Transport Moteane attended the Third Belt and Road Forum for International Cooperation in China. In November 2023, Hon. Minister of Agriculture Mofosi attended the Second Forum on China-Africa Cooperation in Agriculture in China. In February 2024, General Secretary of RFP, Hon. Minister of Communications Moorosi also led the RFP delegation to visit China and RFP has established official party-to-party relations with CPC. In April 2024, Hon. Deputy Prime Minister Majara and Hon. Minister of Health Mochobroane visited Hubei Province. In July 2024, Hon. Minister of Finance Matlanyane attended the Second High-Level Conference of the Forum on Global Action for Shared Development in China. The two countries continued to support and collaborate with each other at the United Nations and other international organizations.

Steady progress was made in the bilateral economic and trade cooperation and specific projects. China completed several assistance and cooperation projects in Lesotho, including the Phase Ⅰ Mafeteng Solar Power Plant Project, the Maseru District Hospital and Eye Clinic and the Mpiti to Sehlabathebe Road.

Exchanges and cooperation in other fields continued to deepen. In September 2018, the two sides signed the Implementation Programme for the Years 2019 to 2022 of the Agreement of the Cultural Cooperation Between the Government of the People's Republic of China and the Government of the Kingdom of Lesotho. China has dispatched 18 batches of Chinese medical teams with more than 190 outstanding doctors to Lesotho since 1997, helping to enhance medical services and health care for Basotho. During the Covid-19 pandemic, China has donated seven batches of PPEs as well as vaccines to Lesotho. A Chinese government medical expert group also came here to share their skills and experiences with Lesotho counterparts.