The conservation of the endemic, endangered, and first-class protected tree species, Taxus chinensis var. mairei (Lem. & H. Lev.) W. C. Cheng & L. K. Fu, is urgent in China. To assist the protection of this important medicinal plant species, the biological and ecological characteristics of its populations were investigated and analyzed in Shanxi. The study area, southeastern Shanxi, is a special region suitable for this species growth and development. The floristic composition, life form spectrum, and species diversity of T. chinensis var. mairei forests reflected the features of both warm-temperate and subtropical regions. Size classes in DBH and static life table analysis showed that the population structure of T. chinensis var. mairei was of the increase-type. Plant density, survivorship, and mortality decreased with increase in age. Distribution patterns of individuals were basically clumped and saplings tended to be distributed randomly. Disturbance from collection of leaves, branches, and stems for medicine was an important factor affecting population structure, dynamics, and distribution. The sex ratio of female/male and the efficiency of sexual reproduction were very low. The main way of reproduction for this species is vegetative propagation. Based on these characteristics, some suggestions, such as establishing nature reserves, improving population structure by cultivation and transplantation, developing seed gardens, and plantations, etc., for the conservation management of T. chinensis var. mairei and its forests in Shanxi are discussed.