Indo-Pacific humpback dolphins (Sousa chinensis) inhabiting the Chinese coastline of the northern South China Sea are subject to intense human activity. To investigate potential impacts to dolphins, photographs taken from 2010 to 2021 in five different locations were analyzed. Among individual dolphins (N = 1,159), 10.6% presented human-induced injuries. Adults were more frequently injured than young dolphins, and individuals from around Jiangmen, Hainan, and Sanniang Bay presented the highest injury prevalence. More research should be conducted in areas that have been subject to less research, such as Jiangmen and Hainan, and the dolphin watching activities occurring in Sanniang Bay should be monitored and regulated. Forty-seven percent of dolphins presented skin conditions, with orange patches being the most frequent (41.5%). Orange patches and hyper-pigmented pink spots were significantly less prevalent in summer and fall than in winter and spring. Orange patches were less frequent in females than in males, as well as with calves relative to older age classes. Seasonal patterns may be linked to water temperatures, while demographic patterns may be associated with immune defenses. These findings allow for a better understanding of the potential impact of human activities on Indo-Pacific humpback dolphins and should inform further conservation measures.