Understanding the role of recruitment in population dynamics of white‐tailed deer (Odocoileus virginianus) is important for management. In the central Appalachian Mountains, deer are part of a largely forested ecosystem that supports 3 carnivore species thought to be capable of influencing white‐tailed deer recruitment: black bears (Urus americanus), coyotes (Canis latrans), and bobcats (Lynx rufus). Yet little is known about predation, how other environmental factors influence recruitment, or the importance of neonate survival to white‐tailed deer population performance in the region. Our objectives were to identify causes of mortality for neonates, analyze effects of landscape attributes on survival of neonates, estimate survival rates for neonates and adult female white‐tailed deer, and to model population growth trends based on current vital rates and hypothetical harvest and neonate survival scenarios. During 2019–2020, we captured 57 neonate deer in Bath County, Virginia, USA, by monitoring 38 pregnant females equipped with global positioning system collars and vaginal implant transmitters and by conducting transect searches for recently born neonates. We observed 37 neonate mortalities and identified cause of death using field and genetic evidence. Mortalities included 28 predation events and 9 deaths from other causes (e.g., abandonment, malnutrition, disease). Black bears accounted for 48.6% of neonate mortalities, and 64.2% of predation events (n = 18), followed by bobcats (n = 5) and coyotes (n = 3). Annual survival for adult female deer was 0.871 and neonate survival to 12 weeks old was 0.310. Elevation was a significant predictor of neonate survival; mortality risk increased 20% for every 100‐m increase in elevation. Models of annual population growth using observed vital rates predicted an increasing population (λ = 1.10). A 10% increase in female harvest would still result in a potential population increase of 2% (λ = 1.02), but a 20% increase in harvest rate would result in a potential 7% decline (λ = 0.93). Neonate survival was higher near fertile valley bottoms and lower along forested ridges characterized by shallow, infertile soils and limited edge or early successional forests. While predation, largely influenced by black bears, was the leading cause of neonate mortality and contributed to low neonate survival, we observed little evidence of population decline, and suggest there is opportunity for a modest increase in harvest of female deer.