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Liang Fa (Leung Fat) worked in a printing company in Guangzhou in 1810 and came to know Robert Morrison (1782–1834, a missionary sent by the London Missionary Society in Britain and the first Christian Protestant missionary in China), who translated the Bible to Chinese and needed printing of the translation. When William Milne (1785–1822, another missionary sent by the London Missionary Society) arrived at Guangzhou in 1813 and worked with Morrison on translation of the Bible, he also came to know Liang Fa. Liang was baptized by Milne in 1816. In 1821, Liang was ordained by Morrison, thus becoming a missionary of the London Missionary Society and the first Chinese Protestant minister and evangelist.
Western Medicine was introduced to China in the 19th Century, mainly by medical missionaries sent from various Christian mission organizations, such as the London Missionary Society (Britain), the Methodist Church (Britain) and the Presbyterian Church in the United States. Benjamin Hobson (1816–1873), a medical missionary sent by the London Missionary Society in 1839, set up a highly successful Wai Ai Clinic in Guangzhou, China. Liang Fa, Hok Chau, also known as Lai-Tong Chau , and others worked there. Liang Fa baptized Chau in 1852. The Methodist Church based in England sent missionary George Piercy to China. In 1851, Piercy went to Guangzhou, where he worked in a trading company. In 1853, he started a church in Guangzhou. In 1877, Chau was ordained by the Methodist Church in Guangzhou, where he pastored for 39 years.
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Due to the social custom that men and women should not be near to one another, the women of China were reluctant to be treated by male doctors of Western Medicine. This resulted in a tremendous need for female doctors of Western Medicine in China. Thus, female medical missionary Dr. Mary H. Fulton (1854–1927) was sent by the Foreign Missions Board of the Presbyterian Church in the United States to found the first medical college for women in China. Known as the Hackett Medical College for Women, his College was located in Guangzhou, China, and was enabled by a large donation from Mr. Edward A.K. Hackett (1851–1916) of Indiana, U.S.A. The College was dedicated in 1902 and offered a four-year curriculum. By 1915, there were more than 60 students, mostly in residence. Most students became Christians, due to the influence of Dr. Fulton. The College was officially recognized, with its diplomas marked with the official stamp of the Guangdong provincial government. The College was aimed at the spreading of Christianity and modern medicine and the elevation of Chinese women's social status. The David Gregg Hospital for Women and Children, also known as Yuji Hospital was affiliated with this College. The graduates of this College included Chau Lee-sun and Wong Yuen-hing, both of whom graduated in the late 1910s and then practiced medicine in the hospitals in Guangdong province. At the end of 1932, the medical center involving the Hackett Medical College for Women and the David Gregg Hospital for Women and Children was put under the control of the Chinese government. Furthermore, it affiliated with Guangzhou Hospital and Lingnan University to form the Sun Yat-Sen Medical College in 1936.
There are many sites significant to Islamic culture in Guangzhou including the Great Mosque of Guangzhou, Huaisheng Mosque, one of the oldest mosques in the world. There are two versions of its origins. The first is that prior to 500, before the establishment of Islam, Arab seafarers had established trade relations with China, setting off from Basra at the tip of the Persian Gulf and from the town of Qays (Siraf) in the Persian Gulf. They sailed the Indian Ocean passing Sarandip (Sri Lanka) and navigated their way through the Straits of Malacca between the Sumatran and Malaysian peninsulas en route to the South China Sea. They established trading posts on the southeastern coastal ports of Quanzhou and Guangzhou. Some Arabs had already settled in China and probably embraced Islam when the first Muslim deputation arrived, as their families and friends back in Arabia had already embraced Islam during Muhammad's revelation (610–32). The other version is that the mosque was built by the uncle of the Prophet Muhammad in 627. There are many restaurants influenced by Islamic culture such as Hezhou Halal Restaurant, Wuyang Humin Restaurant, and Maedah Restaurant. accordingly there's also a Muslim Hero Tomb In Guangzhou Buddhism has remained the most influential religion in the life of Guangzhou people.
Guangzhou has a Jewish community, Guangzhou Buddhist Association, and Guangzhou Daoist Association. There is official pressure against underground, non-registered churches in Guangzhou.
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