The Mauritian pink pigeon (Nesoenas mayeri) is vulnerable, with only 400 individuals remaining in the free-living population. A European captive population was established in 1977 and a European Endangered Species Program (EEP) in 1992. The EEP long-term management plan recommends integrating the EEP and free-living Mauritius populations through pigeon transfers. A retrospective mortality review of the captive population was performed as part of a disease risk assessment process and to inform infectious disease screening prior to exporting captive birds to Mauritius. Six hundred pink pigeons from 34 institutions died from 1977 to 2018. Each individual was categorized according to age at time of death. Records from 404 individuals were categorized according to cause of death. Neonatal mortality (39%) and juvenile mortality (10.8%) were most commonly caused by noninfectious diseases (52% and 54.4%, respectively), including parental neglect and failure to thrive in neonates and nutritional secondary hyperparathyroidism in juveniles. Trauma (43.1%) was the most common cause of mortality in adults, with significantly higher mortality in males from interspecific aggression and in females due to intraspecific aggression. Yersinia pseudotuberculosis, Mycobacterium avium, and Escherichia coli were the most common infectious causes of adult mortality, and E. coli was the most common infectious cause in neonates. The following infectious diseases were identified as priorities for pre-export disease risk analysis, though not all caused mortality: Y. pseudotuberculosis, M. avium, Trichomonas spp., Chlamydia psittaci, and Coccidia spp. Husbandry changes have been made over the years to mitigate many of the noninfectious causes of mortality. These include alterations to nest sites to reduce neonatal trauma and abandonment, ultraviolet light supplementation and diet optimization to reduce metabolic disorders, improving enclosure design to reduce impact trauma, allowing females rest periods during breeding season, and avoiding housing with certain species.