This chapter links diverse values of nature as communicated through different value articulation (“valuing” and valuation) processes to decision-making and its outcomes. It reviews the underlying causes of treating impacts on nature as external to, and ignored in, decisions by current political, economic and socio-cultural actors and institutions (i.e., conventions, norms and rules), and describes how on-the-ground drivers of nature’s decline can be transformed towards recovery, focusing on land and sea use. The modalities and practice of explicit valuation of nature (preceding chapter) in support of decisions, and the decision-making processes themselves, may need to further evolve to achieve global sustainability goals, the CBD 2050 vision of living in harmony with nature and the recent Kunming Declaration of the CBD.