This study aims to identify medicinal plants traditionally used to treat diseases by local people living in Güce district, north-eastern Turkey. The study was carried out between 2018 and 2021 using a two-part semi-structured, open-ended questionnaire with 165 local people. Data were analysed using use-report, frequency of citation, and informant consensus factor. Informants identified 128 vascular medicinal plant taxa belonging to 54 families and 106 genera. The most common plant taxa belong to Rosaceae (16 taxa/12.5%), Asteraceae (12 taxa/9.4%), and Lamiaceae (9 taxa/7%) families. The most frequently used preparation method reported was decoction (39.8%); the most commonly utilized plant parts were leaves (40.3%). Statistical analysis reveals that women in Güce district ( = 163,  = 0.043 < 0.05) possess the most traditional knowledge. The highest frequency of citation (61) and use report (92) were recorded for subsp. , and the highest informant consensus factors were cited for respiratory system disorders (0.86), digestive system disorders (0.73), and skin disorders (0.71). This study reported nine plant taxa as medicinal plants for the first time, and documented a total of 293 new therapeutic uses. However, the study indicates that the transfer of traditional knowledge to future generations is limited ( = 3.355,  = 0.020). Action should be taken as soon as possible to preserve existing traditional knowledge and to ensure its transfer to future generations.