Prehistoric human history on the Tibetan Plateau is a hotly debated topic. Archaeological research on the plateau during the past few decades has enormously improved our understanding of the topic and makes it possible for us to consider the processes and mechanisms of prehistoric human migration to the region. By reviewing the published archaeological research on the Tibetan Plateau, we propose that the first people on the plateau initially spread into the He-Huang region from the Chinese Loess Plateau, and then moved to the low elevation Northeastern Tibetan Plateau and perhaps subsequently to the entire plateau. This process consisted of four stages.(1) During the climatic amelioration of the Last Deglacial period(15–11.6 ka BP), Upper Paleolithic hunter-gatherers with a developed microlithic technology first spread into the Northeastern Tibetan Plateau.(2) In the early-mid Holocene(11.6–6 ka BP), Epipaleolithic microlithic hunter-gatherers were widely distributed on the northeastern plateau and spread southwards to the interior plateau, possibly with millet agriculture developed in the neighboring low elevation regions.(3) In the mid-late Holocene(6–4 ka BP), Neolithic millet farmers spread into low elevation river valleys in the northeastern and southeastern plateau areas.(4) In the late Holocene(4–2.3 ka BP), Bronze Age barley and wheat farmers further settled on the high elevation regions of the Tibetan Plateau, especially after 3.6 ka BP. Finally, we suggest that all of the reported Paleolithic sites earlier than the LGM on the Tibetan Plateau need further examination. Prehistoric human history on the Tibetan Plateau is a hotly debated topic. Archaeological research on the plateau during the past few decades has enormously improved our understanding of the topic and makes it possible for us to consider the processes and mechanisms of prehistoric human migration to the region. By reviewing the published archaeological research on the Tibetan Plateau, we propose that the first people on the plateau initially spread into the He-Huang region from the Chinese Loess Plateau, and then moved to the low elevation Northeastern Tibetan Plateau and perhaps subsequently to the (1) During the climatic amelioration of the Last Deglacial period (15-11.6 ka BP), Upper Paleolithic hunter-gatherers with a developed microlithic technology first spread into the Northeastern Tibetan Plateau. (2 ) In the early-mid Holocene (11.6-6 ka BP), Epipaleolithic microlithic hunter-gatherers were widely distributed on the northea (3) In the mid-late Holocene (6-4 ka BP), Neolithic millet farmers spread into low elevation river valleys in the northeastern and southeastern plateau areas. (4) In the late Holocene (4-2.3 ka BP), Bronze Age barley and wheat farmers further settled on the high elevation regions of the Tibetan Plateau, especially after 3.6 ka BP. Finally, we suggest that all of the reported Paleolithic sites earlier than the LGM on the Tibetan Plateau need further examination.