Small alpine glaciers located below the regional equilibrium line altitude are experiencing considerable ice losses and are expected to fragment into smaller glacial bodies and eventually disappear. Monitoring such glaciers by satellite remote sensing is often challenging because their size and surrounding topography are incompatible with the current spatial resolution of non-commercial satellites. The Italian Dolomites (S-E Alps) are a region clearly illustrating such challenges and where no long-term glacier mass balance data are available. This renowned alpine sector hosted tens of glaciers up until a few decades ago, with now only twelve remaining. This study presents a multi-decadal (1980s-2023) estimation of surface elevation change and geodetic mass balance of the current mountain glaciers present in the area. Calculations are based on geodetic data: high resolution and accuracy is obtained with uncrewed aerial vehicle (UAV) Structure from Motion (SfM) and airborne Light Detection and Ranging (LiDAR), from 2010 to 2023. SfM on historical aerial imagery is used for previous decades. We found an average cumulative surface elevation change of -28.7 ± 2.6 m from 1980s to 2023, 33% of which occurred between 2010-2023. The average geodetic mass balance rate for the whole period is -0.64 ± 0.06 m w.e. yr-1, varies widely among sites, and is less negative than the alpine reference glaciers mass balance. Regionally, 66% of the volume loss is related to the Marmolada Glacier alone. Losses of ice mass and area show that the Dolomites are rapidly losing their glaciers.