Water conservation is an important ecosystem service, which is crucial to the fragile ecological environment and serious soil erosion in Northwest China. However, water conservation has been affected by climate change and human disturbance, and its future spatial and temporal changes are still unclear. This study employed the Integrated Valuation of Ecosystem Services and Trade‐offs (InVEST) model to assess the water conservation capacity of Northwest China between 1990 and 2020. Subsequently, the Patch‐generating Land Use Simulation (PLUS) model and the NASA Earth Exchange Global Daily Downscaled Projections (NEX‐GDDP‐CMIP6) were integrated to examine changes in water conservation from 2030 to 2050. The water conservation quantity in Northwest China had a fluctuating growth tendency between 1990 and 2020, with an average of 816.61 × 108 m3. The water conservation capacity's regional distribution pattern shows a steady increase from northwest to southeast. Northwest China's forest land had the greatest water conservation capacity between 1990 and 2020, at 66 mm, while the water land had the lowest, at 1.46 mm. The water conservation capacity in the 2030–2050 future scenario is less than that in 2020 when the regional distribution pattern is comparable to 2020. Natural development scenario (ND) in 2030 has the lowest water conservation capacity (13.41 mm) under ssp1‐2.6 precipitation scenario, whereas in 2050, the highest water conservation capacity (17.47 mm) is found in same scenario. The ecological protection scenario (EP) has the greatest water retention capacity (18.15 mm in 2040) and the lowest (14.38 mm in 2050) in the ssp5‐8.5 scenario. Our research can help restore and rebuild Northwest China's natural ecosystem and offer a theoretical foundation for the protection of ecological environment and the rational utilization of water resources in the region.