This study assessed the past changes in extreme precipitation and temperature events across the Himalayan Mountains of Pakistan. This cold and mountainous environmental region has witnessed a significant increase in climate-related disasters over the past few decades. Spatiotemporal changes in extreme temperature and precipitation events were analyzed using 24 indices developed by the Expert Team on Climate Change Detection and Indices (ETCCDI). For this study, in situ data of 16 national meteorological stations were obtained from the Pakistan Meteorological Department (PMD) for the past three decades (1991–2020). The significance of the trends was assessed using the modified Mann–Kendall (MMK) test, and the Theil–Sen (TS) slope estimator was used to estimate the slope of the trend. The results showed that there has been a consistent decline in the total precipitation amount across the Himalayan Mountains of Pakistan. The trend exhibited a decrease in the annual average precipitation at a rate of −6.56 mm/year. Simultaneously, there was an increasing trend in the annual average minimum and maximum temperatures at rates of 0.02 °C/year and 0.07 °C/year, respectively. The frequencies of consecutive wet days (CWDs) and maximum 5-day precipitation (RX5day) have decreased significantly, with decreasing rates of −0.40 days/year and −1.18 mm/year, respectively. The amount of precipitation during very wet days (R95p) and extremely wet days was decreased by −19.20 and −13.60 mm/decade, respectively. The warm spell duration (WSDI) and the frequency of warm days (TX90p) across the Himalayan Range both increased by 1.5 and 1.4 days/decade. The number of cold days (TX10p) and cold nights (TN10p) decreased by 2.9 and 3.4 days/decade. The average temperature of the hottest nights (TXn) and the diurnal temperature range (DTR) were increased by 0.10 and 0.30 °C/decade. The results indicated an increasing tendency of dry and warm weather in the Himalayan region of Pakistan, which could have adverse consequences for water resources, agriculture, and disaster management in the country. Therefore, it is essential to prioritize the implementation of localized adaptation techniques in order to enhance sustainable climate resilience and effectively address the emerging climate challenges faced by these mountainous regions.