Not much specific information is available on populations of Pelomedusa galeata, but the species is relatively common wherever it is found (Boycott and Bourquin 2008). During a study over a two-year period in the semi-arid region of the Robertson Karoo, 42 terrapins (25 males and 17 females) were captured from three dams in a 2,500 ha nature reserve (Stuart and Meakin 1983).
The main land use practices over the range of the species are livestock farming and agriculture, which holds the advantage that these terrapins often colonize artificial dams built for livestock and irrigation. Pollution of water bodies due to agricultural practices may, however, pose a threat. The terrapins occur in a variety of wetland habitats and appear able to move overland for substantial distances, thus fragmentation of habitat is probably negligible.
In some parts of Africa humans eat terrapins but there is no information available for South Africa. Trade figures for Pelomedusa are high but few live animals have been exported from South Africa over the past 16 years.