Fault zones control the locations of many ore deposits, but the ore-forming processes in such fault zones are poorly understood. We have studied the deformation and ore textures associated with fault zones that controlled the lead–zinc mineralization of the Dongmozhazhua deposit, central Tibet, ∼100km southwest of Yushu City. Geological mapping shows that the structural framework of the Dongmozhazhua area is defined by NW–SE-trending reverse faults and superposed folds that indicate at least two stages of deformation. The first stage is characterized by tight nearly E–W-striking folds that formed during the closure of the Jinshajiang Paleo-Tethyan Ocean in the Triassic. The second stage of deformation produced NW–SE-trending reverse faults and related structures of the Fenghuoshan–Nangqian fold-and-thrust belt associated with India–Asia collision in the late Eocene to Oligocene. Scanline surveys along the ore-controlling fault zones show an internal structure that comprises a damage zone, a breccia zone with clasts that have become rounded, and a breccia zone with lenticular clasts, and this complex architecture was formed during at least two compressional substages of deformation. The Pb–Zn mineralization in the Dongmozhazhua area occurs exclusively close to NW–SE-trending reverse fault zones. Microtextural observations reveal that mineralization occurred as veinlets and disseminated blebs in limestone clasts, and as continuous bands and cements in fractured rocks. Cataclastic sulfide grains also can be seen in the matrix of some fault zones. The types of mineralization differ with structural position. The fillings of the ore-bearing veinlets typify the products of hydraulic fracture and both types of mineralization took place concurrently with regional contraction. We consider, therefore, that the ore-bearing fluids in the Dongmozhazhua deposit were concentrated in fault zones during regional compression and that the ore minerals were precipitated during hydraulic fracturing of host rocks. Subsequent fault activity pulverized some pre-existing sulfide material into cataclastic grains in the matrix of a tectonic breccia that developed in the same faults.