Despite its widespread use, the Kohomba tree faces challenges. Overharvesting for medicinal and commercial purposes can strain wild populations, while deforestation threatens its natural habitat. Climate change, with its unpredictable rains, also impacts the tree’s growth, particularly in drier regions like Hambantota.

Conservation efforts are underway to address these issues, with organizations encouraging the planting of Kohomba in home gardens, schools, and community lands. Initiatives like the Sri Lanka Forest Department’s reforestation programmes include Kohomba among native species, ensuring its legacy for future generations.