The Nubian dragon tree Dracaena ombet, which is categorized as Endangered on the IUCN Red List, is found on the highest slopes of Gebel Elba National Park in Egypt, with scattered populations in Sudan, Djibouti, Ethiopia and Somalia. The Gebel Elba population is threatened by drought. Surveys were conducted in the Park to assess the condition and document the distribution of the species to prepare a baseline for conservation efforts. Eight sites were surveyed during 2007–2009: trees were tagged and their locations were recorded using a global positioning system, and tree density, diameter at breast height and population status were estimated. Of 353 trees recorded only 46% (161 individuals) were alive and only 27% (96 individuals) were in a healthy condition. Only 1% (2 individuals) were young trees, indicating a low regeneration level. Field-based observations suggest that 80% of the D. ombet population in Gebel Elba may soon be extinct. A conservation action plan is needed for this flagship species in Egypt and throughout its range.