The Mediterranean flora is characterized by a high number of narrow endemic plant species that are often restricted to a few small populations. One of these species, Valeriana amazonum, a perennial plant occurring only in the Supramontes region of central eastern Sardinia, is categorized as Critically Endangered on the IUCN Red List because of its restricted range, small population size and an inferred decline caused by several threats. During 2007–2022, we monitored all mature individuals of this plant annually and surveyed ecologically suitable sites for the species. We identified two previously unknown populations and also learnt of two successful translocations carried out independently by an unknown local citizen. As our monitoring data indicate there has been no decline in the number of mature individuals over the period of monitoring, the species’ conservation status requires reassessment. We recommend that V. amazonum should be recategorized as Near Threatened as it seems to be poorly known rather than highly threatened. This could also be the case with other narrow Mediterranean endemics, especially those that grow in inaccessible habitats for which long-term studies are needed to assess conservation status.