The Baltic Proper harbor porpoise (Phocoena phocoena) is currently listed as critically endangered (CR), with the Static Acoustic Monitoring of the Baltic Sea Harbor Porpoise (SAMBAH) project concluding that only ~500 individuals remain. This population has a distribution that spans the waters of nine countries, making regular abundance estimates and management action challenging. Given the continued decline of other depleted porpoises, namely the vaquita (Phocoena sinus), the question is often raised about whether management action would even have a positive impact, or whether it is too late for population recovery. When abundance estimates are sparse over time, monitoring programs at key sites are likely to serve as the best indication of population trends, and may provide an early indication of changes at the population level. We compared passive acoustic monitoring data from 12 stations that were utilized both in the SAMBAH project (2011–2013) and as a part of the Swedish National Monitoring Program (2017–2020) to determine trends in detection rates. There was a 29% increase in mean daily detection rate during May–October (over the breeding season) between the two study periods. At the three stations with the highest number of detections, log linear regression revealed a yearly increase of 2.4% between 2011 and 2019 (−4.4–9.6, 95% CI). This may be indicative of the beginnings of population recovery, or simply an indication that the decline has stalled. The rate of increase is still well below what is likely to be possible for porpoise populations, and unlikely to buffer against any potential increase in pressures in the future. We therefore call for urgent management action to remove threats and protect this CR population, the only resident cetacean in the Baltic region, in order to give it the best chance of recovery.