Reduced levels of the survival of large trees (≥5 m height) in Africa’s savannas are a conservation concern, particularly where large trees co-occur with African elephants (Loxodonta africana). Elephants, as ecosystem engineers, can structurally modify and lesson the savanna large tree component. Wire-netting, which involves wrapping chicken-mesh around a tree’s main stem, has been used as a mitigation method to increase tree survival. We assess the trends in survival of three large tree species of conservation importance, namely Lannea schweinfurthii, Senegalia nigrescens and Sclerocarya birrea, within the Associated Private Nature Reserves (APNR) on the western boundary of the Kruger National Park, South Africa. We consider survival trends linked by both elephant impact, as well as external environmental factors. We conducted four field assessments on 2,758 trees in 2008 (baseline), 2012, 2017, and 2020, where we recorded i) elephant impact levels on each tree, ii) whether the tree had wire-netting, and iii) the tree’s survival status. We then modelled tree survival status as a dependent variable against multiple environmental factors. We found that tree survival was lowest when mean annual rainfall was lowest due to the drought, particularly amongst L. schweinfurthii and S. nigrescens. Wire-netting significantly increased large tree survival in comparison to control trees over the 12-year period, however, this effect decreased after four years if the wire-netting had lost its structural integrity. We illustrate how various environmental factors, in combination with elephant impact, affect large tree survival in an African savanna with a high density of artificial water points. We also provide results on the longest known study on wire-netting as a mitigation method for elephant impact on large trees and provide evidence on how a period of drought may have accelerated large tree decline in a southern African savanna.