The annual highest water level of
Taihu Lake (
Zm) is very significant for flood management in the
Taihu Basin. This paper first describes the inter-annual and intra-annual traits of
Zm from 1956 to 2000. Then, using the Mann-Kenall (MK) and Spearman (SP) nonparametric tests, the long-term change trends of area precipitation and pan evaporation in the
Taihu Basin are determined. Meanwhile, using the Morlet wavelet transformation, the fluctuation patterns and change points of precipitation and pan evaporation are analyzed. Also, human activities in the
Taihu Basin are described, including land use change and hydraulic project construction. Finally, the relationship between
Zm, the water level of
Taihu Lake 30 days prior to the day of
Zm (
Z0), and the 30-day total precipitation and pan evaporation prior to the day of
Zm (
P and
E0, respectively) is described based on multi-linear regression equations. The relative influence of climate change and human activities on the change of
Zm is quantitatively ascertained. The results demonstrate that: (1)
Zm was distinctly higher during the 1980-2000 period than during the 1956-1979 period, and the 30 days prior to the day of
Zm are the key phase influencing
Zm every year; (2)
P increased significantly at a confidence level of 95% during the 1956-2000 period, while the reverse was true for
E0; (3) The relationship between
Zm,
P and
E0 distinctly changed after 1980; (4) Climate change and human activities together caused frequent occurrences of high
Zm after 1980; (5) Climate change caused a substantially greater
Zm difference between the 1956-1979 and 1980-2000 periods than human activities. Climate change, as represented by
P and
E0, was the dominant factor raising
Zm, with a relative influence ratio of 83.6%, while human activities had a smaller influence ratio of 16.4%.