The ecological protection and restoration of multi-ecological elements is an inevitable requirement for the construction of ecological civilization. The Qinghai-Tibet Plateau is an ecological barrier area, a water conservation area and an ecologically fragile area in China. It has a unique ecological status for ecological protection. Therefore, the governments attach great importance to the construction of ecological civilization on the Qinghai-Tibet Plateau, and actively carry out pilot projects of ecological protection and restoration of multi-ecological elements. Based on the particularity of the ecological protection and restoration pilot of the Qinghai-Tibet Plateau, this paper took the Lhasa River Basin as an example to sort out its main ecological protection and restoration projects, and refined the technical route of ecological protection and restoration of multi-ecological elements in the Qinghai-Tibet Plateau. From the aspects of participants, elements, operation guarantee, and implementation objectives, this paper summarized the multi-sectoral, cross-regional, multi-element comprehensive, multi-channel collaboration, and multi-objective coupling management model. Based on the multi-ecological elements, the practical framework of precise implementation of ecological protection and restoration in the Qinghai-Tibet Plateau was summarized. It is expected to have a clear understanding of the ecological construction of multi-ecological elements in the Qinghai-Tibet Plateau, and provide a reference for other areas of China to systematically carry out the ecological protection and restoration of multi-ecological elements.