It is increasingly apparent that our planet is undergoing rapid, unprecedented environmental change. These changes are already impacting wild trout populations, leading to declines in occupancy and abundance across increasingly fragmented landscapes. Many changes are projected to intensify in the coming decades, which are likely to be crucial to the future of many wild populations. While there is some uncertainty in exactly how changes will manifest, we can be confident that many populations will need to rapidly adapt to change if they are to persist. The foundation of such rapid change is genetic diversity, and conservation strategies are most likely to be successful when they consider the role of genetics in the outlook for wild trout populations. While not a panacea, rapid advances in the field of conservation genetics allow longstanding questions to be addressed with greater rigor and present new opportunities to support management against a backdrop of accelerating change. Here, we review major advances in conservation genetics as they relate to wild trout and highlight potential opportunities to support conservation in the Anthropocene and key areas of continuing uncertainty.