Hong Kong has been affected by both Western and Chinese culture for over 100 years. However, until recently schools in Hong Kong adopted a traditional Chinese way to handle school bullying. Punitive measures such as de-meriting the students involved, informing parents and suspension from schools have long been used. Only in the last decade have programs and guidelines for dealing with school bullying been developed by governmental authorities, NGOs, and local practitioners. Thus chapter reviews such recent developments, including legislative effort and responsibilities of the Education Bureau, and intervention measures such as Building Harmonious School Environments Together; the newer version Zero Tolerance of bullying in schools; Project C.A.R.E.: Child and Adolescents at Risk Education; P.A.T.H.S. to Adulthood 2004-2008; 2009-2012; 2013-now; and Be Net-wise 2009-2010. The situation of English Speaking Schools in Hong Kong is considered. A study that compared different approaches is summarised. A discussion is given of intervention with children with special needs. The final section considers suggestions for future directions, including localized coping strategies for Chinese school children; legal education; traditional or Confucius value re-visited and forgiveness; media literacy education; parent education; and teacher’s perceptions.