Large trees play a vital role in forest carbon stocks, dominating the distribution of community biomass. However, climate change and deforestation are reducing large trees globally, resulting in regional differences in their contribution to carbon stocks. Here, we examined the latitudinal change pattern and drivers of large trees' contributions to stand carbon stocks. Above-ground carbon storage was calculated for 530 plots in old-growth forests across China. Linear regression was used to calculate latitudinal variation in the proportion of above-ground carbon in large trees (i.e., AGC proportion). Variance partitioning and multiple linear regression were used to calculate the relative importance of species diversity, stand structure, functional traits, and environmental factors to AGC proportion. The study found that AGC proportion decreased with increasing latitude, averaging at 64.44 %. Stand structure, particularly the coefficient of variation of DBH, was identified as the key drivers of the AGC proportion. The number of common species (Hill's 1D) had no direct effect on the AGC proportion, while wood density, maximum tree height, and leaf nitrogen-to‑phosphorus ratio showed negative effects. The mass-ratio effects on AGC proportion were stronger than diversity effects. Climate variables primarily affected the AGC proportion through stand variables. These results indicate that simultaneously managing high diversity and AGC proportion may pose challenges. Moreover, considering the substantial contribution of large trees to carbon stocks, their storage capacity and sensitivity to environmental changes exert significant control over forest carbon cycles. Therefore, preserving and enhancing the carbon sink function of old-growth forests in the face of climate change and disturbance may depend primarily on protecting existing large trees and soon-to-be large-diameter trees.