Potash fertilizer production is one of the most important economic activities. Historically, potash mining has had a significant impact on the environment, often with catastrophic consequences. The purpose of this paper is to summarize the results of studies on the environmental impact of potash mining using the example of the Verkhnekamskoe potash deposit. The deposit is located in the central part of the Solikamsk depression in the Pre-Ural foredeep (Perm Krai, Russia). All the main features and problems of underground mining of water-soluble ores and potassium fertilizer production are considered using the example of one of the world’s largest potash deposits. This paper looks into the specifics of the material composition of waste, its disposal, underground mining issues associated with the solubility of salts, and the risks of groundwater inflow into the mine workings, which causes flooding of mines. The results of all surveys show that potash mining affects the atmosphere, surface water, groundwater, soil, and vegetation. The most effective measure to reduce the adverse environmental impact of potash mining at the Verkhnekamskoe Deposit is hydraulic backfilling of mine chambers, which protects the underground mines from flooding, minimizes ground subsidence, and reduces the area of potash waste.