In 2010, the friendly and cooperative relationship between the People's Republic of China and the Republic of Sierra Leone moved forward steadily.

The two countries conducted close political exchanges. From 9 to 10 January, Foreign Minister Yang Jiechi visited Sierra Leone. He met with President Ernest Bai Koroma and had talks with Minister of Foreign Affairs and International Cooperation Zainab Hawa Bangura. The leader of Sierra Leone spoke highly of Sierra Leone-China relations and hoped to strengthen the bilateral practical cooperation in various fields. The two sides signed cooperation documents such as the Agreement on the Economic and Technical Cooperation Between the Government of the People's Republic of China and the Government of the Republic of Sierra Leone. President Koroma sent letters of condolences to President Hu Jintao in January and April, respectively on the death of Chinese peacekeepers during the earthquake in Haiti and the destructive earthquake in Yushu, Qinghai Province. From 6 to 10 May, President Koroma attended the National Pavilion Day activities of Sierra Leone during the Shanghai World Expo in China. On 23 September, Sierra Leonean Foreign Minister Bangura attended the Second Political Consultation between Foreign Ministers of China and African Countries in New York.

Bilateral cooperation in economy, trade, fishery, health and military went on smoothly. The renovation of Sierra Leone's parliament building and the construction of the office building of the Foreign Ministry, both with China's assistance, were officially launched in March and October respectively. In July, Minister of Fisheries Joseph Koroma visited China. China provided a tranche of anti-lassa fever medicine to Sierra Leone. From 23 to 29 November, Sierra Leonean Defense Minister Alfred Palo Conteh visited China. CPPCC Vice Chairman Ablet Abduréshit met with him. China's Defense Minister General Liang Guanglie held talks with him.