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Archaeological investigations worldwide have focused on when and how humans permanently settled in high-altitude environments. Recent evidence from Xiada Co, Qusongguo, and Dingzhonghuzhuzi in western Tibet, where lithic artifacts and radiocarbon dates with original deposits were first accessed, provides new insights into human activities in this extreme environment during the early Holocene. This paper examines the mobility and land-use patterns of foragers in western Tibet from the perspectives of lithic analysis. Assemblages from three sites suggest homogenous technologies and raw material use, as well as potential interaction network of hunter-gatherers within the plateau during the early Holocene. It further argues that the material exponents and travel cost models of site location supported permanent occupation of the western Tibetan Plateau in this period.