@@Tibetan is an import ethnic group of P. R. China with long history and splendid culture. As one of five Treatises of Buddhist Doctrine (Five shastras), medicinal culture is a very important component of traditional knowledge system. While it has assimilated and integrated principles from both traditional Chinese and Indian medicinal systems, Tibetan medicine represents a unique ethnic medicinal system that has evolved for centuries (Qiu Lilang, 2007). Tibetan medicines primarily originate from plants, animal organs and minerals, and plants from Tibetan Plateau are a major source of supply. With the global rush for natural medicines, a number of research and development projects focusing on Tibetan medicine have been implemented. In recent years, more than a hundred businesses specializing in the production of Tibetan medicines for clinical purposes have emerged in China. As such, Tibetan medicine has become one of the most important economic industries in Tibetan areas. That said, there is an array of constraints on the sustainable use of the plants at the heart of Tibetan medicine. These include limited stocks of some important species and slow renewal rates of most species as well as their low level of resilience in the light of their origins in cold, high altitude regions. Meanwhile, current industrial trends that encourage unregulated harvesting while neglecting resource conservation have led to a depletion of the resources and caused irreversible harms to the natural environment. By elaborating on the field surveys and conservation efforts we carried out across the Kawagebo region in Deqin Prefecture, Yunnan Province, this paper intends to shed some light on the creation of a future paradigm suitable for preserving Tibetan medicinal culture and conserving some important plants used by local Tibetan communities.