Slagging coal gasification process became a highlight of coal chemical industry in China during the last decade. Refractory lining’s life of slagging gasifiers is one of the most critical factors for a cost-effective operation. The paper introduces current status of coal gasification in China, lining structure of slagging gasifiers and performance of refractory lining. It also summarizes the major factors impacting on refractory wear in slagging coal gasifiers in four Chinese chemical plants, based on ten years of industrial experience. The utilizability is discussed in terms of cost-effectiveness of high chromia refractories and possibility of the alternatives.