Effects of nitrogen (N) management methods of paddy field on N export to environment and paddy N balance in Taihu lake region, China were studied. Field experiment including site-specific nitrogen management (SSNM), organic & chemical N fertilizer treatment (OCN), control released urea treatment (CRN), reduced chemical N treatment (RN) and farmer's N treatment (FN) were conducted at the Taihu lake region in 2008. N loss including runoff, leaching, ammonia volatilization and N2O were calculated, and the N balance was evaluated. Results showed the grain yield of SSNM, OCN, CRN and RN treatments was identical with FN treatment, while the total N rate reduced about 20%-40%, and N use efficiency (NUE) increased 14.5%-44%. N export of SSNM and CRN treatments decreased 52.8% and 45.4% in comparison with FN treatment. Under the same N input, N export of OCN treatment was lower than pure chemical N treatment (RN). N surplus was observed in FN treatment, while N deficit existed in SSNM treatments. CRN and SSNM treatments could increase NUE, reduce N export without sacrifice of yield and benefit, and could be as an economic and environment-friendly measure to intensify in Taihu lake region.