The aim of this study is to explore whether the effect of PM10 (particulate matter with an aerodynamic diameter of <10 microm) on daily mortality was modified by extreme temperatures in Guangzhou from 2005 to 2009. The present study used time-series analysis to explore the modification effects of temperature on the association between PM10 and the cause-specific mortalities for cardiovascular, respiratory, cardiopulmonary, and nonaccidental mortality. The interactions between PM10 and temperature were statistically significant on respiratory mortality. The effect estimates per 10-microg/m(3) increase in PM10 concentrations at the moving average of lags of 0 and 1 day on high-temperature days were 2.34% (95% confidence interval = 0.55, 4.16) for nonaccidental, 1.35% (-1.69, 4.48) for cardiovascular, 6.09% (2.42, 9.89) for respiratory, and 3.36% (0.92, 5.86) for cardiopulmonary mortalities. The results suggest that it is important to control and reduce the emission of air particles in Guangzhou, particularly on extreme-high-temperature days.