The formation of Carlin-type gold deposits is poorly constrained, mainly due to the lack of accurate ages for gold mineralization. The Youjiang basin, SW China, represents the world’s second-largest Carlin-type gold province after NV, USA. In this paper, we use hydrothermal apatite U–Th–Pb dating to systemically determine the mineralization ages of five Carlin-type gold deposits, namely, Shuiyindong, Jinfeng, Zimudang, Linwang, and Jinya, in the Youjiang basin. The hydrothermal apatite is characterized by intimate intergrowth with gold-bearing sulfides, presence of primary fluid inclusions, irregular morphology and cathodoluminescence zoning, and MREE-enriched composition patterns, indicating that it is clearly associated and coeval with gold mineralization. The concentrations of lattice-bound U and Th in the apatite are highly variable, making it suitable for in situ secondary ion mass spectrometry (SIMS) U–Th–Pb dating. The dating results of hydrothermal apatite from the five deposits show that they formed at ca. 150–140 Ma, contemporary with the widespread felsic magmatism and associated W–Sn mineralization to the east of the Youjiang basin, probably in response to slab breakup of the Paleo-Pacific oceanic plate beneath the South China continental plate. Our case story suggests that hydrothermal apatite could be a robust chronometer for age dating of sedimentary rock-hosted gold mineralization worldwide.