The total costs and impacts of expanding energy use in China will depend, in part, on a number of important factors, an understanding of which is vital for China's policy-makers. These issues include the additional environmental and public health impacts associated with energy use, the economic costs of infrastructure expansion to meet growing energy needs, and the potential role that renewable energy technologies could play if pushed hard in China's energy future. This short report summarizes major trends and issues in each of these three areas.