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Acropora palmata populations have experienced steep declines over the past 30 years. Although numerous culprits are recognized, their relative contributions to the decline are poorly quantified, making it difficult to prioritize effective conservation measures. In 2004, a demographic monitoring program was implemented in the Florida Keys (USA), aimed at determining the relative importance of various stressors affecting A. palmata. A subset of randomly selected A. palmata colonies within 15 fore-reef plots was tagged and surveyed three to four times per year over 7 years. Colony size, live tissue, prevalence of disease, snail (Coralliophila abbreviata) predation, physical damage and other conditions were assessed at each survey. The estimated effect of each condition causing recent mortality was ranked, and together, these parameters were used to attribute the population-level tissue loss associated with each condition. In addition, all new colonies in the study plots were counted and assessed annually in order to track trends in total colony count and live tissue abundance. Between 2004 and 2010, the study population has shown more than 50% decline in live area from three main conditions: fragmentation, disease and snail predation. Approximately half of this decline occurred during the catastrophic 2005 hurricane season from which recovery has been minimal. Meanwhile, colony abundance has shown gradual decline throughout the study. Snail predation was the most prevalent condition. However, it ranked third in attributed tissue loss, behind breakage that occurred during the 2005 hurricane season, and disease. Thermal bleaching of A. palmata was not observed during this study. Because mortality continues to outpace recruitment and growth, intervention to ameliorate losses to the more manageable threats including predation and breakage could result in substantial conservation of live tissue, buying time for the abatement of less tractable threats to A. palmata recovery such as climate change and disease.