The extremely rare Aquilegia paui (Ranunculaceae) was described in 1920 but was not found again until 1999, when it was discovered in the Parc Natural dels Ports in Tarragona Province, Spain. This species had been confused with the widespread A. vulgaris and consequently its taxonomic and conservation status had been misinterpreted. Based on the limited range of A. paui and the level of disturbance of its habitat we recommend that it is categorized as Endangered on the IUCN Red List. We summarize the conservation actions available for such extremely narrow endemic plant species and make appropriate recommendations for the conservation of A. paui.