Embodiments of the present invention disclose a method, a network element, and a system for assessing voice quality, which relates to the communications field and solves a problem that user perception cannot be reflected according to a voice quality assessment result. The method includes acquiring a voice code stream, and collecting statistics on a transmission parameter in each short-time assessment period; decoding the voice code stream, and collecting statistics on a source parameter according to the decoded voice code stream; and calculating a comprehensive voice quality assessment result according the transmission parameter and the source parameter. The present invention is used for voice quality assessment.