Surface water pollution seriously restricts the development of the city and results in the citizens yearning for a better life. Mountainous cities have their own characteristics in surface water environment and pollution compared with those of plain cities due to their unique topography. In August and October 2019, surface water and sediments were collected in a typical river (Qingshuixi River) in the main urban area of Chongqing. These samples were analyzed for nutrients such as carbon, nitrogen, and phosphorus as well as other basic physicochemical indicators. The results showed that the surface water of the Qingshuixi River was inferior to Category V at present, and it was also at a serious pollution level according to the comprehensive pollution index evaluation system. Among all the water quality indices, NH and TP showed the most serious pollution. The tributaries of the Qingshuixi River exhibited higher surface water quality than that of the main stream, and the water quality during the rainfall season