While research on the aging behavior of plastics in aquatic systems is extensive, studies focusing on high-altitude ecosystems, characterized by higher solar radiation and lower temperatures, remain limited. This study investigated the long-term aging behavior of non-biodegradable plastics (non-BPs), namely polyethylene terephthalate (PET) and polypropylene (PP) and biodegradable plastics (BPs), specifically polylactic acid plus polybutylene adipate-co-terephthalate (PLA + PBAT) and starch-based plastic (SBP), in a tributary of the Yarlung Zangbo River on the high-altitude Tibetan Plateau. Over 84 days of field aging, all four types of plastics exhibited initial rapid aging followed by deceleration. This aging process can be divided into two phases: rapid surface oxidation aging and an aging plateau phase. Notably, PP aged at a rate comparable to BPs, contrary to expectations of faster aging for BPs. Compared to low-altitude aquatic ecosystems, plastics in this study showed a faster aging rate. This was primarily due to intense ultraviolet radiation causing severe photoaging. Furthermore, the lower temperatures contributed to the formation of thinner biofilms. These thinner biofilms exhibited a reduced capacity to block light, further exacerbating the photoaging process of plastics. Statistical analysis results indicated that temperature, total nitrogen TN, and total phosphorus TP were likely the main water quality parameters influencing plastic aging. The varying effects of water properties and nutrients underscore the complex interaction of water quality parameters in high-altitude environments. Given the delicate nature of the high-altitude environment, the environmental impact of plastics, especially BPs, warrants careful consideration.