In this study, we have investigated changes in precipitation extremes and the population’s exposure to these extremes during 2091–2099 in China’s Beijing–Tianjin–Hebei (JJJ) region relative to the historical period of 1991–1999. First, the regional climate model RegCM4, with a hydrostatic dynamic core, was run for east Asia, including China, at a 12 km resolution for 1990–1999 and 2090–2099. This model is forced by global climate model (GCM) MPI-ESM1.2-HR under the middle shared socioeconomic pathways (SSP245). The first year was used as a model spinup. Then, the 12 km results were used to force RegCM4 with a non-hydrostatic dynamic core (RegcM4-NH) at a 3 km convection-permitting scale over the JJJ region during the historical and future periods. Future precipitation extremes were predicted to increase over the whole of China and its four subregions, while decreases were predicted over the JJJ region. This may partly be caused by lower increases in specific humidity over the JJJ region. The percentage contributions of the three components of total population exposure, i.e., changes in exposure due to changes in the population, precipitation extremes and the joint impact of the population and extremes, were then analyzed. Changes in the population and wet extremes were closely related to changes in the total exposure over the JJJ region. The population is the dominant factor that most impacts the total exposure to dry extremes. Finally, changes in future population exposure to precipitation extremes per degree of warming were quantified for the JJJ region.