Objective: To investigate the density distribution of Aedes mosquitoes in different habitats and seasonal fluctuation in Hangzhou, Zhejiang Province, China from 2017 to 2021, so as to provide a scientific basis for effective prevention and control, risk assessment, and early warning of dengue fever. Methods: According to the National Vector Surveillance Implementation Plan and the Zhejiang Provincial Vector Surveillance Plan, Aedes mosquitoes were monitored in 15 districts (counties and cities) in Hangzhou. Adult mosquitoes were monitored using the double-layered mosquito net method, and larvae were monitored using the Breteau index (BI) method. The surveillance time was set during April to November. The mosquito surveillance data of the 15 districts (counties and cities) were collected. Excel 2019 software was used for data analysis. The net trap index, BI, and container index (CI) were calculated. Categorical data were compared using the Chi-squared test. One-way analysis of variance was used for quantitative data. Results: From 2017 to 2021, the density of Ae. albopictus in Hangzhou by the double-layered mosquito net method was 2.54 mosquitoes/net·h, and no Ae. aegypti mosquitoes were captured. The density of adult mosquitoes was lowest in 2017 and highest in 2020. There was a statistical difference in the net trap index between different years (F=5.117, P=0.017). The seasonal distribution generally presented a bimodal pattern, with the peaks of mosquito densities mainly in July and October. The average BI from 2017 to 2021 was 9.18, and the peak period of the BI was during May to October. The CI showed that Ae. albopictus larvae were distributed in all kinds of water bodies. The CI differed statistically between different water bodies in the same year (all P < 0.001) and between different years in the same water body (all P < 0.001). Conclusions: Ae. albopictus density was high in Hangzhou, indicating a risk of dengue fever outbreaks and regional epidemics. It is recommended that the counties (cities, districts) take timely mosquito control measures according to the density, distribution, and seasonal fluctuation of mosquitoes.