The precipitation gradient (PG) is a crucial parameter for watershed hydrological models. Analysis of daily precipitation and elevation data from 30 stations in the southeastern Tibetan Plateau (SETP) during the active phase of the Indian monsoon reveals distinct patterns. Below 3000 m, precipitation generally decreases with increasing altitude. Between 3000 and 4000 m, precipitation patterns are more complex; in western regions, precipitation increases with elevation, whereas in eastern regions, it decreases. Above 4000 m, up to the highest observation point of 4841 m, precipitation continues to decrease with elevation, with a more pronounced decline beyond a critical height. In the SETP, PGs for LYR and NYR are positive, at 11.3 ± 2.7 mm/100 m and 17.3 ± 3.8 mm/100 m, respectively. Conversely, PLZB exhibits a negative PG of −22.3 ± 4.2 mm/100 m. The Yarlung Zangbo River (YLZBR) water vapor channel plays a significant role in these PGs, with the direction and flux of water vapor potentially influencing both the direction and magnitude of the PG. Additional factors such as precipitation intensity, the number of precipitation days, precipitation frequency, and station selection also significantly impact the PG. Notable correlations between elevation and variables such as the number of precipitation days, non-precipitation days, and precipitation intensity. The precipitation intensity gradients (PIGs) are 0.06 ± 0.02 mm/d/100 m, 0.11 ± 0.04 mm/d/100 m, and −0.18 ± 0.04 mm/d/100 m for the three catchments, respectively. Future research should incorporate remote sensing data and expand site networks, particularly in regions above 5000 m, to enhance the accuracy of precipitation–elevation relationship assessments, providing more reliable data for water resource simulation and disaster warning.