Fault slip rates are critical to quantify continental deformation. Those along the Karakax fault (northwestern Altyn Tagh Fault: ATF) have been debated, even though it is one of Tibet's most outstanding active faults. At Taersa, using LiDAR measurements of terrace and fan riser offsets (∼6 to ∼500 m) and 10Be/26Al dating of alluvial surfaces (<210 ka), we obtain a late Quaternary slip rate of ∼2.5 ± 0.5 mm/yr. This doubles the ∼2.6 ± 0.5 mm/yr rate time span found to the east and west. We interpret the ∼150 km-long, free-faced rupture along the fault to be that of the M ∼ 7.6 event felt in Hotan in 1882. Characteristic slip (∼6 m) during four large earthquakes since ∼10 ka implies a ∼2500 ± 500 years return time. A ∼3 mm/yr rate is consistent with the ∼80 km offset of the Karakax river since uplift of the West Kunlun range and sediment deposition in the Tarim foreland accelerated, ∼24 Ma ago. The faster slip rate (∼10.5 mm/yr) on the central ATF matches the sum of those along the reactivated West Tibetan terrane boundaries (Karakax and Longmu-Gozha Co faults) at the Uzatagh triple junction (∼36°N, 83°E). The abrupt termination and altitude drop of the Karakorum range where the Longmu Co and Karakorum faults meet (Angmong junction), also reflect triple junction kinematics. Such localized changes account for the rise of the Karakorum and West Kunlun ranges and support lithospheric block tectonics rather than diffusely distributed deformation