Historically, shortnose sturgeon inhabited most major rivers on the Atlantic coast of North America south of the Saint John River, Canada. Today, only 16 populations may remain. Major anthropogenic impacts on shortnose sturgeon are blockage of spawning runs by dams, harvest of adults (bycatch and poaching), dredging of fresh/saltwater riverine reaches, regulation of river flows, and pollution. The pattern of anadromy (adult use of salt water) varies with latitude. The pattern may reflect bioenergetic adaptations to latitudinal differences between fresh and salt water habitats for thermal and foraging suitability. The greater adult abundance in northern and north-central populations likely reflects a historical difference with southern populations that is currently accentuated by increased anthropogenic impacts on southern populations. Adult abundance is less than the minimum estimated viable population abundance of 1000 adults for 5 of 11 surveyed populations, and all natural southern populations. Across the latitudinal range, spawning adults typically travel to about river km 200 or farther upstream. Dams built downstream of spawning reaches block spawning runs, and can divide amphidromous populations into up- and downstream segments. Conservation efforts should correct environmental and harvest impacts, not stock cultured fish into wild populations.