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Subterranean ecosystems host unique biodiversity and deliver important services to humans. Yet, available data for subterranean ecosystems are limited in space and/or taxonomic scope and global monitoring programs are absent, preventing practitioners to develop effective conservation and management strategies. Expert opinion may help overcome some of these knowledge gaps. We surveyed experts on a wide variety of subterranean ecosystems and taxa around the world, aiming to quantify the importance of anthropogenic threats and conservation measures for subterranean ecosystems and to provide a roadmap on how to preserve these fundamental habitats and associated species and ecosystem services. We obtained 279 responses from 155 experts in different subterranean habitats, taxa, and regions. Experts perceived surface habitat change, direct habitat destruction (e.g., pollution, damming, mining), and climate change as the most relevant threats impacting subterranean ecosystems. Legislation, land protection, and education were scored as the most effective conservation measures, whereas species-level conservation was deemed less relevant. Whenever lacking hard data, expert opinion may be an effective, largely available, yet often overlooked source of information to implement timely conservation interventions for subterranean ecosystems. The most important threats (weights, in order of importance from left to right) affecting subterranean species and ecosystems according to experts evaluation and the most effective measures (circles) that should be taken to improve their conservation status. [Display omitted] • According to experts, subterranean ecosystems are primarily impacted by climate change and surface habitat change. • Legislation, land protection, and education were scored as the most effective conservation measures. • Expert opinion may be effective in the implementation of conservation interventions for poorly known subterranean ecosystems. [ABSTRACT FROM AUTHOR]