Rivers and their watersheds have been subject to various changes, including biodiversity, caused by anthropogenic activities. The Danube River and Black Sea basin overlap the geographic range of six species of anadromous fish belonging to the family Acipenseridae. Nowadays, they are endangered or at risk of extinction in the wild due to fragmentation and destruction of natural habitats, blocking their migration to spawning grounds, water pollution, and poaching. This paper presents a review of the historical and current distribution and evolution of the sturgeon populations of sturgeon species in the Danube River basin. Conservation status and measures for species protection, conservation, and restoration at the national, regional, and global levels are presented.