Using participatory approaches, Tibetan calendars and land use maps were drawn by Tibetan villagers in the Khawa Karpo area of northwest Yunnan. Villagers were then asked to identify changes in both calendars and land use over the last 20-50 years, identify the effects of climate change, and describe in detail their adaptations to climate change. Global climate change per say is seldom recognized among Tibetans (there has been little or no explanation of these concepts in the popular media), but virtually all people recognize such effects as warming temperatures, melting glaciers, irregular rain patterns, advancing treeline, etc. Additionally, semi-structured/open ended interviews with local professionals (e.g., agronomists, foresters, meteorologists, NGOs, monks, Tibetan calendar makers, etc.) were held in Deqin, Shangri-la and Lhasa. Results indicate that perceived causes of and reactions to climate change are often spiritual as with many other indigenous peoples around the world. In addition, tourists, pollution (both physical and spiritual), cars and electricity are often blamed for changes in climate. Both traditional knowledge processes (e.g. experimentation and innovation) and outcomes (e.g., locally adapted varieties, soil amendments, and pest management) are evident. Reported effects, adaptations and innovations include widespread farmer experimentation with new crops; varieties; planting, harvesting, and herding dates; field locations; increased organic soil amendments; afforestation; changes in NTP populations, phenologies and distributions; previously unseen or increased crop and animal diseases, insect pests, and weeds; and negative effects on Tibetan health and culture. One of the most striking innovations/adaptations is the often dominant commercial production of grapes and wine, including specialty and award winning ice-wine. Grapes (Cabernet Sauvignon) were originally introduced by French missionaries a hundred years ago, grown then only in church yard cloisters, protected from cold and severe weather, but which can now be grown throughout the Mekong (Lancang) river valley. This local adaptation is most recently being dominated by government purchase of grapes and wine production, taking the added value from locals and increasing the market to the point where traditional Tibetan agriculture is completely displaced by commercial production in some villages. Indigenous peoples, including Tibetans, with their direct vulnerability and adaptations to and perceptions and mitigations of climate change deserve a place at the table where climate change policy is made.