In the early history of the relationship between China and America, Macau was in an important place. With unique geographical advantage, Macau became the intermediary of the activities including business and missionary work between America and China and the forerunner of the westernization movement. After the establishment of China ’s diplomatic relations with America, Macau started to lose its advantage and develop other industries including opium smuggling, labor trafficking and gaming. America gained huge profits from labor and opium trading. But things changed later, America turned to join the government in attacking Macau ’s illegal trading. On the other hand, the American missionaries fulfilled their purpose of missionizing through opening printing offices, publishing translated books, establishing hospitals and revitalizing education. Macau thereby became one of the centers of cultural exchanges between China and the West.