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Tidal flats are a globally distributed coastal ecosystem important for supporting biodiversity and ecosystem services. Local to continental‐scale studies have documented rapid loss of tidal habitat driven by human impacts, but assessments of progress in their conservation are lacking. With an internally consistent estimate of distribution and change, based on Landsat satellite imagery, now available for the world's tidal flats, we examined tidal flat representation in protected areas (PAs) and human pressure on tidal flats. We determined tidal flat representation and its net change in PAs by spatially overlaying tidal flat maps with the World Database of Protected Areas. Similarly, we overlaid the most recent distribution map of tidal flats (2014–2016) with the human modification map (HMc) (range from 0, no human pressure, to 1, very high human pressure) to estimate the human pressure exerted on this ecosystem. Sixty‐eight percent of the current extent of tidal flats is subject to moderate to very high human pressure (HMc > 0.1), but 31% of tidal flat extent occurred in PAs, far exceeding PA coverage of the marine (6%) and terrestrial (13%) realms. Net change of tidal flat extent inside PAs was similar to tidal flat net change outside PAs from 1999 to 2016. Substantial shortfalls in protection of tidal flats occurred across Asia, where large intertidal extents coincided with high to very high human pressure (HMc > 0.4–1.0) and net tidal flat losses up to 86.4 km² (95% CI 83.9–89.0) occurred inside individual PAs in the study period. Taken together, our results show substantial progress in PA designation for tidal flats globally, but that PA status alone does not prevent all habitat loss. Safeguarding the world's tidal flats will thus require deeper understanding of the factors that govern their dynamics and effective policy that promotes holistic coastal and catchment management strategies. Article impact statement: Thirty‐one percent of the world's tidal flats are protected, but more is needed to counter human pressure and avoid further global tidal flat loss. [ABSTRACT FROM AUTHOR]