Birds are suffering from steep population declines on a global scale and they are one of the few taxonomic groups for which these declines are well documented by long-term monitoring data. This study provides a synthesis of the status of the breeding birds of Greece. To this aim, we retrieved population size estimates from six sources spanning 22 years (1992–2014) and calculated species’ trends in Greece. Using the IUCN Red List assessments for each species we assessed whether ecological traits including habitat and diet preferences were associated with species’ trends and conservation status in Europe and determined major threats affecting birds in Greece. Moreover, we assessed the importance of Important Bird & Biodiversity Areas (IBAs) in terms of declining trigger species. Results showed that almost one fifth of the breeding birds in Greece have declining populations. Raptors were found to be the most threatened group of birds whereas the highest declines by dietary group were observed in scavengers, with 60% of species showing a decreasing trend. The most common threats were those that cause habitat alteration and degradation as well as more direct effects such as poisoning. Our results suggest that restoration of habitat and ecosystem functions along with the management of protected areas and improvement of legislation should be the main conservation actions undertaken and pinpointed the IBAs where they should be prioritized for implementation. Finally, further research, especially on specific drivers of population change, along with further examination of current and past population trends, will increase the power and accuracy of future regional Red List assessments especially concerning the breeding species for which the country bears the greatest responsibility.