Shangxu is an orogenic gold deposit within the Bangong-Nujiang suture zone, central Tibet, China. It is hosted by turbidite sedimentary rocks of the Jurassic Mugagangri Group. The host rocks were metamorphosed to subgreenschist facies prior to being hydrothermally altered adjacent to mineralization. Hydrothermal minerals in wall rocks consist of muscovite, carbonate, sulfides and chlorite. Whole rock geochemistry indicates hydrothermal alteration is characterized by the introduction of K2O, CO2 and S, and leaching of Na2O. Increasing 3 K/Al and decreasing Na/Al alteration indexes approaching the ore correlate to muscovitization. CO2 concentration reflects the degree of carbonation, which in conjunction with molar (Mn + Fe)/(Fe + Ca + Mg + Mn) and CO2/CaO can be used to distinguish siderite from ankerite in carbonate alteration. Mass transfer analysis shows gains in As, Au, CO2, W, Ca, Cd, Ni, Cr, Sr, Rb, K and losses in Na, Pb, Cu during hydrothermal alteration. In the muscovite alteration zone, muscovite within shear zones (Ms1) shows an increase in Fe, Mg and Na towards the ore, whereas metamorphic muscovite along cleavage planes and in pressure shadows (Ms2), and hydrothermal muscovite (Ms3) change in composition from phengitic (Mg, Fe) distal to mineralization, to paragonitic (Na) adjacent to gold. In carbonate alteration, the composition in carbonate phases changes from early magnesian siderite to ankerite, and then to calcite and dolomite during the evolution of the hydrothermal system. Siderite spots in host rocks and ankerite in veins, wall rock or its replacement of siderite are all enriched in Fe, Mn and depleted in Mg from proximal to distal alteration zones. Pyrite is a dominant mineral in sulfide alteration of the Shangxu deposit. The earliest framboidal pyrite (Py1) formed during diagenesis, and overprinted by Py2, which is recrystallized pyrite associated with burial metamorphism. Py3 rims and enlarges previous pyrite aggregates, or recrystallizes into cubic grains with cracks and quartz pressure shadows during deformation. Py4 is ore-related euhedral pyrite, disseminated near gold, and formed in hydrothermal stage. Vein pyrite (Py5) coexists with marcasite, and fills cracks in quartz veins. Hydrothermal alteration minerals form overlapping alteration haloes surrounding the main auriferous lodes. Distal muscovitization, carbonatization and proximal sulfidation constitute a progressive alteration front from gold. The alteration envelope is tabular in shape, following the strike and dip of the mineralization, and tends to be the widest around the thickest parts of the ore, such that the occurrence and thickness of the alteration envelope can be used as an approximate guide to the size of gold mineralization. Shangxu shares many diagnostic features with turbidite-hosted orogenic gold deposits, such as Bendigo, Reefton and Meguma districts, in deposit geology, alteration mineralogy and lithogeochemistry.