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Hypoxia events frequently occurred in the bottom layer of the northern Adriatic Sea (NAd) from midsummer to mid-autumn, when the water column is highly stratified, with highly variable spatial extent and duration. To determine the mechanisms of changes in hypoxia frequency and their relation to environmental conditions, 40 yr-long time series of dissolved oxygen and of parameters that describe freshwater influence, stratification processes, and circulation patterns were analysed. It was shown that seasonal hypoxic events in the open water areas coincided with the formation of cyclonic or anticyclonic circulation cells, whose stability was estimated by the appearance of the Istrian Coastal Counter Current (ICCC). The oxygenation of bottom waters during the period August-November of the last two decades has increased, whereas a decreasing trend was observed in surface waters. The frequency of hypoxic events at a larger scale in the NAd decreased since 1992, concurrently with reduced ICCC occurrences. However, the frequency of events in the western area, which is under a direct influence of Po River discharges, did not change significantly, although their intensity recently were lower than during the 1970s and 1980s.