Long-lived, top-level predators, such as some marine mammals, serve as important indicators of ecosystem health. Assessing the abundance and habitat use of such marine top predators is essential for the formulation of effective conservation and management actions. There is considerable concern over the viability of small humpback dolphin opulations across a global scale and a number of studies have raised concerns over their vulnerability to extinction. In light of the recent uplisting of Indian Ocean humpback dolphins (Sousa plumbea) to ‘Endangered’ on the South African Red Data list, there is an urgent need for a greater understanding of the abundance and spatial distribution of this species along the South African coastline. Using small vessels as survey platforms between March 2014 and June 2015, this study attempted to determine the abundance, spatial distribution and habitat preferences of Indian Ocean humpback dolphins along 150 km of South Africa’s south coast. A further aim was to assess the utilisation of the current Marine Protected Area network by humpback dolphins along this coastline relative to areas outside of formal protection. Mark-recapture methods applied to photo-identification data produced abundance estimates of 84 individuals (95% CI: 72-115) within the study area for both open and closed models. An average group size of 3.94 individuals (range 1-12; SD = ± 2.82) was observed during the study, indicating a decrease in average group size of ~45 % from a previous assessment in 2002/03. Such a decline in group size could potentially be a result of a change in social structure in response to reduced prey availability. Spatial analyses of humpback dolphin geographic positions, using a kernel density estimator (KDE) and effort-weighted density grid analyses, indicate that the species is unevenly distributed over the coastal zone within the area. Sightings occurred at the highest densities within Buffels Bay and along Goukamma MPA, followed by Plettenberg Bay, Nature’s Valley, and around the Bloukrans, Elandsbos and Groot River East mouths. Habitat preference was assessed using a standard classification-based method and the results indicate a strong preference, in particular, for Dissipative Intermediate Sandy Coast habitat, followed by Very Exposed Rocky Coast, Intermediate Sandy Coast, Estuarine Shore, Mixed Shore and Inshore Reef habitats. Areas of high humpback dolphin densities appear to be associated with these habitat types, especially with Dissipative-Intermediate Sandy Coast habitat. Humpback dolphins were sighted at relatively low densities along stretches of coastline consisting predominately of Exposed Rocky Shore habitat. Long expanses of this habitat type may limit humpback dolphin movements along the coast. The observed patterns in distribution and habitat preferences may be linked to the availability of prey and/or the avoidance of predators. Average sightings per kilometer travelled (SPUE) indicate that the utilisation of the Robberg and Tsitsikamma MPAs by humpback dolphins was low, most likely due to the low availability of sandy coastline in these areas. In contrast, the utilisation of the Goukamma MPA, which is characterised by a high availability of Dissipative-Intermediate Sandy Coast, was very high. The low population numbers and declines in average group size of Indian Ocean humpback dolphins within the study area warrant concern and call for effective conservation and management measures. In light of ever-increasing levels of anthropogenic threats to coastal areas, future research and long-term monitoring of the population is essential to broaden our knowledge of the species and to detect population trends.