Over the years, the landscape of the Yellow Medicine Watershed has changed through drainage and loss of wetland areas. The Soil and Water Conservation Districts of Lincoln, Lyon and Yellow Medicine counties work cooperatively with the Yellow Medicine River Watershed District to oversee implementation of conservation practices in this watershed. Based on previous Clean Water Partnership diagnostic studies, it is known the river is receiving an excessive loading of nutrients, phosphorus and suspended solids. These conditions have led to declining dissolved oxygen levels as a result.