AbstractHong Kong is one of the busiest metropolises, and the Eurasian otter Lutra lutra is one of its most threatened species. We collected published data for 1890–2020 to document changes in local otter abundance and distribution over time. The 108 records revealed new distribution data and showed that decline began as early as the 1930s. The local Eurasian otter is strongly associated with coastal and alluvial wetlands, and its last refugium, the Yuen Long floodplain draining the Mai Po Inner Deep Bay Ramsar Site, has always been a critical habitat. Our analysis suggests that hunting is unlikely to be a major cause of the otter's decline. Rather, dependence on lowland wetlands makes it particularly susceptible to habitat loss caused by increasing urbanization. Auxiliary infrastructures and water pollution have also exacerbated wetland degradation to the detriment of otters and their prey. There is a need for greater cooperation amongst government agencies and landowners to guarantee otter survival: priority steps include the establishment of additional and interconnected wetland reserves, better stakeholder engagement and enforcement efficiency to tackle entrenched pollution problems, and flood prevention schemes that preserve or restore functional riverine ecosystems within critical otter habitats. The current otter distribution range has been earmarked for development in a government-led mega urbanization plan; the plight of the local Eurasian otter needs to be widely publicized to garner stakeholders' support and galvanize immediate conservation actions across society.