Understanding the changes in temperature and precipitation on the southern Qinghai-Tibet Plateau (QTP), which is influenced by the Indian Summer Monsoon (ISM), is crucial for predicting possible future changes in the regional ecological environment under ongoing climate change. However, due to the lack of well-dated, high-resolution paleoclimate records, the trends of temperature and ISM precipitation on the southern QTP since the mid-Holocene are poorly understood. We present a high-resolution pollen record from Dirgo Co, on the southern QTP, spanning the past 4400 years. The decrease in the pollen ratio of Artemisia to Cyperaceae (A/Cy) indicates a downward shift of altitudinal vegetation belts in the Drigo Co area over the past 4400 years, suggesting falling temperatures; and decreases in tree pollen percentages indicate the gradual weakening of the ISM. Our pollen record also indicates five cold phases with the near-simultaneous weakening of the monsoon, during: 4300–4100 cal yr BP, 3600–3400 cal yr BP, 2800–2600 cal yr BP, 1600–1400 cal yr BP, and 700–100 cal yr BP, and these climate anomalies were also recorded elsewhere on the QTP. We suggest that the changes in temperature and ISM intensity on the southern QTP over the past 4400 years were modulated by changes in summer insolation and solar activity. These changes affected the sea surface temperature (SST) over the tropical Pacific and Indian Ocean regions, and they were linked to a positive phase of the El Niño/Southern Oscillation (ENSO) and the Indian Ocean Dipole (IOD), which weakened the ISM intensity in the Drigo Co area. Additionally, due to increased evaporation related to high temperatures, combined with intensified grazing activities over the past ∼200 years, the lake level has fallen, and the vegetation cover has decreased. As global temperatures continue to rise, the alpine steppe in the Drigo Co area may increase and the vegetation density may gradually decrease, and at the same time the regional ecological environment may gradually deteriorate.