The alpine grasslands of the Qinghai–Tibet Plateau are one of the most famous grazing ecosystems in the world, providing a variety of ecosystem functions and services. The rate of grassland degradation has been slowed by the implementation of national grassland restoration projects, but the degradation of grasslands on the Qinghai–Tibet Plateau has not yet been fundamentally reversed, and some grasslands are still degraded to varying degrees. The main causes of grassland degradation on the Qinghai–Tibet Plateau are both human and natural factors. Human factors include overgrazing, over-cultivation, indiscriminate digging and mining, mineral resource development, infrastructure construction and use, and tourism development. Natural factors include climate change, wildlife destruction, pests, etc. Based on the principles of restoration ecology, a number of effective practices and integrated management responses for restoring degraded grasslands have been developed on the Qinghai–Tibet Plateau. The degraded grassland restoration practices include fencing, fertilization, sown grassland establishment, rodent control, and grazing management. Based on these practices, the comprehensive restoration of degraded grasslands and the establishment and sustainable management of sown grasslands in the alpine grasslands of the Qinghai–Tibet Plateau should be further strengthened, and research on the mechanisms of grassland degradation and restoration should be further developed.