We consider estimating a low-dimensional parameter in an estimating equation involving high-dimensional nuisances that depend on the parameter. A central example is the efficient estimating equation for the (local) quantile treatment effect ((L)QTE) in causal inference, which involves as a nuisance the covariate-conditional cumulative distribution function evaluated at the quantile to be estimated. Debiased machine learning (DML) is a data-splitting approach to estimating high-dimensional nuisances using flexible machine learning methods, but applying it to problems with parameter-dependent nuisances is impractical. For (L)QTE, DML requires we learn the whole covariate-conditional cumulative distribution function. We instead propose localized debiased machine learning (LDML), which avoids this burdensome step and needs only estimate nuisances at a single initial rough guess for the parameter. For (L)QTE, LDML involves learning just two regression functions, a standard task for machine learning methods. We prove that under lax rate conditions our estimator has the same favorable asymptotic behavior as the infeasible estimator that uses the unknown true nuisances. Thus, LDML notably enables practically-feasible and theoretically-grounded efficient estimation of important quantities in causal inference such as (L)QTEs when we must control for many covariates and/or flexible relationships, as we demonstrate in empirical studies.