Published literature suggests that indigenous cultural practices, specifically traditional medicine, are commonplace among urban communities contrary to the general conception that such practices are associated to rural societies. We reviewed literature for records of herptiles sold by traditional health practitioners in urban South Africa, then used visual confirmation surveys, DNA barcoding, and folk taxonomy to identify the herptile species that were on sale. Additionally, interviews with 11 SePedi and IsiZulu speaking traditional health practitioners were used to document details of the collection and pricing of herptile specimens along with the practitioners’ views of current conservation measures aimed at traditional medicine markets. The herptile specimens sold by traditional health practitioners included endangered and non-native species. The absorbance ratios of DNA extracted from the tissue of herptiles used in traditional medicine were found to be unreliable predictors of whether those extractions would be suitable for downstream applications. From an initial set of 111 tissue samples, 81 sequencing reactions were successful and 55 of the obtained sequences had species level matches to COI reference sequences on the NCBI GenBank and/or BOLD databases. Molecular identification revealed that traditional health practitioners sometimes mislabel the species they use. The mixed methodology employed here is useful for conservation planning as it updates knowledge of animal use in indigenous remedies and can accurately identify species of high conservation priority. Furthermore, the study highlights the possibility of collaborative conservation planning with traditional health practitioners.