Taxa endemic to a country are key elements for setting national conservation priorities and for driving conservation
strategies, since their persistence is entirely dependent on national policy. We applied the IUCN Red
List categories to all Italian endemic vascular plants (1340 taxa) to assess their current risk of extinction and to
highlight their major threats. Our results revealed that six taxa are already extinct and that 22.4% (300 taxa) are
threatened with extinction, while 18.4% (247; especially belonging to apomictic groups) have been categorized
as Data Deficient. Italian endemic vascular plants are primarily threatened by natural habitat modification due
to agriculture, residential and tourism development. Taxa occurring in coastal areas and lowlands, where anthropogenic
impacts and habitat destruction are concentrated, display the greatest population decline and extinction.
The national network of protected areas could be considered effective in protecting endemic-rich areas (ERAs) and endemic taxa, but ineffective in protecting narrow endemic-rich areas (NERAs), accordingly changes
to the existing network may increase the effectiveness of protection. For the first time in the Mediterranean Basin
biodiversity hotspot, we present a comprehensive extinction assessment for endemic plants under the full responsibility
of a single country. This would provide an important step towards the prioritization and conservation
of threatened endemic flora at Italian, European, and Mediterranean level. A successful conservation
strategy of the Italian endemic vascular flora should implement the protected area system, solve some taxonomical
criticism in poorly known genera, and should rely on monitoring threatened species, and on developing
species-specific action plans.