An ecosystem services (ES) approach to natural resource management (NRM) can provide the framework for balancing economic, ecological, and societal drivers in decision making. The efficacy of such an approach depends on the successful execution of several key activities, from early and continuous engagement with relevant stakeholders, to development and application of ecological production functions (EPFs), to explicit recognition of uncertainty in the process. Although there are obstacles to the implementation of an ES approach in NRM, including unclear regulatory and policy frameworks and the paucity of useful EPFs, many of the tools are currently available or sufficiently developed. An ES approach can and, in some cases, should involve qualitative rather than quantitative assessment when the stakes are not very high or when quantitative approaches would not be cost effective because of highly uncertain results. Integr Environ Assess Manag 2017;13:74-84. © 2016 SETAC.