Ganges river dolphin abundance has undergone a predominant decline across its range since monitoring began. In Nepal, disappearance from some of the rivers it once used has already occurred. Today this species can only be found in three river systems in Nepal, the Karnali, Sapta Koshi, and Narayani, but numbers are low in these locations. To determine the abundance of dolphins remaining in the Karnali system (which includes the Karnali, Geruwa, and Mohana), and factors affecting dolphin habitat use, we conducted surveys where we recorded dolphin presence. Dolphins within this river system were sighted only in the Karnali and an abundance estimate of 5.04 ± 0.753 SE was calculated. This pattern of ranging differed from that previously reported (from previous sightings only in the Geruwa to current sightings only in the Karnali). River depth likely contributed to the presence or absence of dolphins. Shifts in available habitat between the Geruwa and Karnali have resulted from changes in the course of the main stream Karnali following construction of the Chisapani irrigation intake. Because of the low numbers of dolphins reported, there is great concern that loss of this species in Nepal is likely in the near future.