China is now the largest emitter of CO2 in the world, having contributed nearly half of the global increase in carbon emissions between 1980 and 2010. The existing literature on China’s carbon emissions has focused on two dimensions: the amount of CO2 emitted within China’s geographical boundaries (a production-based perspective), and the drivers of, and responsibility for, these emissions (a consumption-based perspective). The current study begins with a comprehensive review of China’s CO2 emissions, and then analyzes their driving forces from both consumption and production perspectives, at both national and provincial levels. It is concluded that China’s aggregate national CO2 emissions from fossil fuel consumption and cement production maintained high growth rates during 2000-2010. National emissions reached 6.8–7.3 billion tons in 2007, nearly 25% of which were caused by net exports (i.e., exports minus imports) to other countries. However, emission characteristics varied significantly among different regions and provinces, and considerable emission leakage from the developed eastern regions to inland and western areas of the country was found. The objectives of China’s policies should therefore be broadened from continued improvement of energy efficiency to accelerating regional technology transfer and preventing mere relocation of carbon-intensive economic activities from developed coastal regions to less developed, inland provinces. To rapidly and effectively cut down China’s carbon emissions, moreover, its energy supply should be aggressively decarbonized by promoting renewable and low carbon energy sources.