Ancient walnut trees (Juglans regia L.), revered as “cultural heritage in motion,” have coexisted harmoniously with dense clusters of Tibetan traditional villages for centuries. However, accelerating climate change and expanding human activities along the middle reaches of the Yarlung Tsangpo River have increasingly threatened their survival. To quantitatively evaluate the health of these ancient trees and identify the underlying driving mechanisms, this study developed a remote sensing-enhanced Structural Equation Model (SEM) that integrated satellite-derived ecological indices, land-use intensity, and field-measured morphological and physiological indicators. A total of 135 ancient walnut trees from villages such as Gamai in Jiacha County, Tibet, were examined. Key findings: (1) The SEM demonstrated an excellent model–data fit (Minimum Discrepancy Divided by Degrees of Freedom (CMIN/DF) = 1.372, Root Mean Square Error of Approximation (RMSEA) = 0.053, Tucker–Lewis Index (TLI) = 0.956, and Comparative Fit Index (CFI) = 0.962), confirming its robustness. (2) Among the latent variables, overall condition exerted the strongest influence (weight = 0.360), whereas foliage condition contributed least (0.289). (3) Approximately 35.56% of trees were healthy or sub-healthy, while 61.48% showed varying levels of decline. (4) Tree health was jointly shaped by intrinsic and extrinsic factors, with intrinsic drivers exhibiting stronger explanatory power. Externally, human disturbance negatively affected health, whereas ecological quality was positively associated. These results highlight the effectiveness of integrating remote sensing and SEM for ancient tree assessment and underscore the urgent need for long-term monitoring and adaptive conservation strategies to enhance ecological resilience.

In the context of intensifying global climate change, high-altitude mountain ecosystems play a critical role in climate regulation, biodiversity conservation, and the advancement of sustainable human development. Plateau regions, such as the Qinghai–Tibet Plateau, are particularly sensitive and responsive to global climatic fluctuations and function as essential ecological barriers supporting development across Asia. These areas occupy a strategic position within Asia’s ecological security framework and the broader international community, influencing not only regional ecological stability and social cohesion but also sustainable development pathways. However, owing to their fragile ecosystem structures, limited regenerative capacity, and the ongoing expansion of urbanisation and human activities, these regions frequently suffer from habitat fragmentation and degradation of ecological functions. This issue is especially acute in natural protected areas adjacent to plateau cities. Consequently, there is an urgent need for quantitative assessments of ecological restoration effectiveness within natural protected areas, alongside investigations into development approaches that underpin long-term regional stability and sustainability. Focusing on Chokpori Mountain—the “urban green heart” of Lhasa, a principal city on the Qinghai–Tibet Plateau—this study develops a three-dimensional assessment framework encompassing ecological, economic, and social dimensions. By integrating the Integrated Valuation of Ecosystem Services and Trade-offs (InVEST) model, remote sensing inversion techniques, field monitoring, and questionnaire surveys, the research systematically evaluates the effectiveness of ecological restoration and proposes insights for sustainable governance. The findings indicate that ecological restoration elicited positive ecological responses, evidenced by a 69.2% increase in soil retention post-renovation, an increase in vegetation coverage, and modeled total nitrogen (TN) and total phosphorus (TP) export loads demonstrating enhanced nutrient retention potential and improved water purification potential; (2) economic stimulation was evident, as demonstrated by an increase in average weekend daily visitor numbers from 876 to 1567 and a 24.2% rise in average monthly revenue of shops within a 1 km radius; and (3) social well-being improved, with ecological satisfaction reaching 89.2% and recognition of cultural communication attaining 67.3%. An integrated analysis indicates a synergistic enhancement of ecological environmental quality, regional vitality, and public perception. Accordingly, the outcomes of this study provide both theoretical insights and practical guidance for the ecological restoration and sustainable management of urban protected areas in high-altitude plateau regions worldwide.