Fossil tooth enamel from herbivores is considered one of the best proxies for paleoclimate and paleoelevation reconstructions, due to its low susceptibility to diagenetic alteration. A synthesis of oxygen and carbon isotope analyses of modern tooth enamel from herbivores such as Tibetan yaks, asses and antelopes is assessed. The average δ 13C(PDB) value of herbivore tooth enamel in the Lhasa and south Qiangtang terrains is-11.3‰± 1.1‰, whereas in the north Qiangtang and Hoh Xil terrains value is-10.2‰± 1.4‰ consistent with the current C3-dominant ecotype in the Tibetan Plateau. In addition, the average δ18O(PDB) values from tooth enamel show a northward systematic increase from-11.8‰± 3.4‰ in the Gyirong Basin, to-11.1‰± 1.1‰ in the Lhasa and southern Qiangtang terrains, and then to-9.0‰± 1.1‰ in the northern Qiangtang and the Hoh Xil areas, similar to those of the local river water and precipitation variation trends. It is suggested that δ 18O(PDB) values of tooth enamel should not be used directly to evaluate the paleo-elevation of the Tibetan Plateau, because oxygen isotopic composition from tooth enamel is a com-bination of drinking water (precipitation-and river-sourced) and diet (plant-sourced). Moreover, an empirical relationship between oxygen isotope of tooth enamel and modern river water, and as well as elevation is recommended, which can be used in future studies of Tibetan Plateau paleoelevation.