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Microplastics are an emerging and persistent pollutant due to their threat to global ecological systems and human health. Recent studies showed that microplastics have infiltrated the remote Third Pole – the Tibetan Plateau. Here, we summarize the current evidence for microplastic pollution in the different environments (rivers/lakes, sediment, soil, ice/snow and atmosphere) of the Tibetan Plateau. We assess the spatial distribution, source, fate, and potential ecological effects of microplastics in this broad plateau. The integrated results show that microplastics were pervasive in biotic and abiotic components of the Tibetan Plateau, even at the global highest-altitude, Mt. Everest. Although the concentration of microplastics in the Tibetan Plateau was far below that found in the densely populated lowlands, it showed a higher concentration than that in the ocean system. Tourist populations are identified as a substantial source of anthropogenic plastic input rather than local residents due to the rapid development of the tourism industry. In the sparsely inhabited remote area of the Tibetan Plateau, long-range atmospheric transport facilitates allochthonous microplastic diffusion. Robust solar radiation in the Tibetan Plateau might enhanced production of secondary microplastics by weathering (UV-photooxidation) of abandoned plastic waste. A rough estimation showed that the microplastic export flux from melting glaciers was higher than that measured in most of the world's largest rivers, which affects local and downstream areas. Since the Tibetan Plateau is vital for Asian water supply and numerous endangered wildlife, the potential human and ecological risk of microplastics to these fragile ecosystems needs to be fully evaluated within the context of climate-change impacts. [Display omitted] • Microplastics are ubiquitous in all the environmental media of the Tibetan Plateau. • The contribution of plastic waste from tourists is higher than local residents. • Robust weathering condition enhanced the production of secondary microplastics. • Atmospheric transport facilitates long range diffusion of microplastics in this area. • Ecological risk assessment on microplastics in this fragile ecosystem is urgently needed. [ABSTRACT FROM AUTHOR]