Abstract Euphorbia barnardii White, Dyer & Sloane is a relatively small, succulent shrub found in the Northern Province of South Africa. In 1994 it was listed as endangered by the Transvaal Threatened Plants Programme, because only three populations, totalling 1150 plants, were found. However, our study found five populations totalling 10 783 plants (9503 were reproductive). One population, found 50 km from the others, in the Bewaarkloof district, differs in terms of habitat type and morphology and may therefore be a different taxon. The other populations occur in Sekhukhuneland. Soil analyses showed that E. barnardii is restricted to ultramafic (serpentine) substrates. A sample of 2015 plants was examined in 1995 for size, stage, new growth, dead branches, reproduction (indices of vigour), damage and disease. Analysis of the results of 10 years’ demographic monitoring (1985–1995) on two of the Sekhukhuneland populations showed that one population, which was vigorous in 1995, showed little change in population size and structure, while the other, which had low vigour in 1995, showed a precipitous decline to local extinction in the monitoring plot. Aerial photographs taken in 1957 (1963 for Bewaarkloof) and 1986 showed large increases in human population density within 1.5 km of the E. barnardii populations except at Bewaarkloof, where it decreased. An increase in human habitation is associated with an increase in livestock (mostly cattle and goats) which trample plants. Trampling damages the terminal segments, which may lead to lowered reproductive output and increase susceptibility to opportunistic bacterial wilt pathogens. Bacterial wilts were prevalent on all populations but were particularly high at Bewaarkloof and on the population that showed a steep decline in numbers. Disease incidence was associated with the level of plant damage. The impact on plants further up the slopes and on the crest of hills (quite far from human settlements) was to a far lesser degree but further increases in human population density could change this situation. While this study has shown that the population size of E. barnardii is much greater than previously thought, the species is still threatened by several different processes and should be listed as ‘Vulnerable (A1a + c, B1, B2b + e, C1, D2)’ according to World Conservation Union categories.