Knowledge of cooperative breeding in birds from longitudinal studies is available only for a small proportion of species. This paper reports data from a 12-year study on the Tibetan Ground Tit Pseudopodoces humilis. On average, 27.2% (range: 13.0–36.1%) of monogamous pairs in each year contained one (85.4%) or more (14.6%) male helpers, 83.7% of which were yearlings staying on natal territories. Most helpers (89.6%) helped once and then bred independently. Adults had male-biased sex ratios, low annual survival rates (averaging 0.50) and shorter longevities (averaging 1.8 years) compared with low-altitude avian cooperative breeders, suggesting that mate shortage promotes helping behaviour in this species. Incest occurred rarely (2.1% of pairs), probably because kin recognition occurs through year-around living in family groups. There was a low level (3.1% of broods) of extra-pair parentage, which could facilitate the maintenance of cooperative breeding.