This species is listed as Endangered in view of its area of occupancy (AOO) being estimated to be 8 km², its existence at two locations and a continuing decline in at least quality of habitat caused by urban development as the major threat. The population size has reduced from 457 mature individuals in the three subpopulations to 307 mature individuals in the two remaining subpopulations from 2021 to 2024. However, the generation length of this perennial herb is unknown. The data on whether this is a continuing decline in the population are still insufficient. However, the continuing decline in at least the area and quality of the species' habitat has been observed, which means this species qualifies as Endangered under criterion B2ab(iii).

The species Cota saguramica is endemic to east Georgia. It is found in Kartli (Saguramo) and Mtiuleti (Ananuri environs) (Ketskhoveli et al. 1971-2011).

Two distant subpopulations are known in eastern Georgia.

The species is a perennial herb of 40-60(70) cm in height with yellow-coloured flowers. It grows on meadows in the lower mountain belt (Ketskhoveli et al. 1971-2011).

The major threat to the species is urban development, the major subpopulation grows close to the village and along roadsides and is affected by road maintenance and construction operations. Small-holder cattle overgrazing is another threat to the species.

In Georgia, the species is reported from one ex situ collection in National Botanical Garden of Georgia, with collections made in 2021-2023. A duplicate collection is also available at the Royal Botanic Gardens, Kew, Millennium Seed Bank in the UK.

Site protection and raising awareness are necessary, as well as research on population trends.